Individual provider · Type 1 NPI

Shannon Marie Trace, MS

Professional Counselor · Grapevine, TX

NPI number 1477089506 Active

Practice location

1785 State Highway 26 Ste 200
Grapevine, TX 76051-2217

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X74119 (TX)
Marriage & Family Therapist 106H00000X202462 (TX)

Professional Counselor: Definition to come...

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About NPI 1477089506

Shannon Marie Trace, MS's National Provider Identifier is 1477089506, issued on May 10, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grapevine, TX. The record was last updated on Jan 28, 2026.