Individual provider · Type 1 NPI

Shannon Dwayne Spahan, STUDENT COUNSELOR

Mental Health Counselor · Salem, OR

NPI number 1568339976 Active

Practice location

750 Front St NE
Salem, OR 97301-1089

Call (503) 363-2021 Map

Mailing address

29397 SW Tami Loop Apt 117
Wilsonville, OR 97070-6522

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1568339976

Shannon Dwayne Spahan, STUDENT COUNSELOR's National Provider Identifier is 1568339976, issued on Oct 21, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salem, OR. The record was last updated on Oct 21, 2025.