Individual provider · Type 1 NPI

Jamie Shannon

Counselor · Espanola, NM

NPI number 1144635509 Active

Practice location

404 Hunter St
Espanola, NM 87532-2655

Fax (505) 753-6947

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1144635509

Jamie Shannon's National Provider Identifier is 1144635509, issued on Jun 24, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Espanola, NM. The record was last updated on Jun 24, 2014.