Individual provider · Type 1 NPI

Shannon Smoot, MA, LPCC17567, PPSC

Professional Counselor · Oakland, CA

NPI number 1144035403 Active

Practice location

77 Glen Ave Apt 111
Oakland, CA 94611-4907

Call (341) 688-1809 Map

Specialties and licenses

TaxonomyCodeLicense
School Counselor 101YS0200XNone listed
Professional Counselor Primary 101YP2500XLPCC17567 (CA)

Professional Counselor: Definition to come...

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About NPI 1144035403

Shannon Smoot, MA, LPCC17567, PPSC's National Provider Identifier is 1144035403, issued on Feb 12, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Oakland, CA. The record was last updated on Feb 12, 2025.