Individual provider · Type 1 NPI

Melanie R. Shannon

Professional Counselor · Florence, KY

NPI number 1134630577 Active

Practice location

6900 Houston Rd Ste 12
Florence, KY 41042-4891

Call (310) 619-8989 Map

Mailing address

434 Scott St
Covington, KY 41011-2342

Other practice locations

  • 434 Scott St, Covington, KY 41011-2342 · (513) 354-5200

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X259926 (KY)
Professional Counselor 101YP2500XC.1700453 (OH)
Professional Counselor Primary 101YP2500X259926 (KY)

Professional Counselor: Definition to come...

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About NPI 1134630577

Melanie R. Shannon's National Provider Identifier is 1134630577, issued on Oct 12, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Florence, KY. The record was last updated on Jan 31, 2024.