Individual provider · Type 1 NPI

Shannon Renee Gregory

School Counselor · Laveen, AZ

NPI number 1356589402 Active

Practice location

4725 W South Mountain Ave
Laveen, AZ 85339

Fax (602) 237-3376

Mailing address

5010 E Cheyenne Dr, #1041
Phoenix, AZ 85044-1770

Specialties and licenses

TaxonomyCodeLicense
School Counselor Primary 101YS0200X4057121 (AZ)

School Counselor: Definition to come...

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About NPI 1356589402

Shannon Renee Gregory's National Provider Identifier is 1356589402, issued on Jan 28, 2009. The primary taxonomy on file is School Counselor (101YS0200X), and the practice location is in Laveen, AZ. The record was last updated on Jan 28, 2009.