Individual provider · Type 1 NPI

Patricia Shannon, LPC

Professional Counselor · Medford, OR

NPI number 1629240205 Active

Practice location

900 E Main St
Medford, OR 97504-7136

Mailing address

1221 Disk Dr
Medford, OR 97501-6638

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XC4048 (OR)

Professional Counselor: Definition to come...

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About NPI 1629240205

Patricia Shannon, LPC's National Provider Identifier is 1629240205, issued on Mar 24, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Medford, OR. The record was last updated on Jun 27, 2023.