Individual provider · Type 1 NPI
Shannon Laforge, MA, LPC
Professional Counselor · Austin, TX
NPI number
1255736716
Active
Practice location
1220 Southport Dr Apt C
Austin, TX 78704-7883
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 69576 (TX) |
Professional Counselor: Definition to come...
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About NPI 1255736716
Shannon Laforge, MA, LPC's National Provider Identifier is 1255736716, issued on Oct 27, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Austin, TX. The record was last updated on Oct 27, 2014.