Individual provider · Type 1 NPI

Shannon Smith

Mental Health Counselor · San Jacinto, CA

NPI number 1467762724 Active

Practice location

102 W Main St
San Jacinto, CA 92583-4121

Mailing address

PO Box 3868
Hemet, CA 92546-3868

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1467762724

Shannon Smith's National Provider Identifier is 1467762724, issued on Oct 20, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Jacinto, CA. The record was last updated on Oct 20, 2010.