Individual provider · Type 1 NPI
Shannon Detwiler, MA, LMHC
Mental Health Counselor · Palm Harbor, FL
NPI number
1124638523
Active
Practice location
2432 Clubside Ct Apt 327
Palm Harbor, FL 34683-1755
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MH18125 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1124638523
Shannon Detwiler, MA, LMHC's National Provider Identifier is 1124638523, issued on Jul 31, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Palm Harbor, FL. The record was last updated on Jul 31, 2020.