Individual provider · Type 1 NPI

Shannon Nichole Gentry

Mental Health Counselor · Eugene, OR

NPI number 1245089614 Active

Practice location

2650 Suzanne Way Ste 200
Eugene, OR 97408-7619

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1245089614

Shannon Nichole Gentry's National Provider Identifier is 1245089614, issued on May 16, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eugene, OR. The record was last updated on May 16, 2024.