Individual provider · Type 1 NPI
Jacqueline A. Shannon
Professional Counselor · Fort Worth, TX
NPI number
1730651696
Active
Practice location
3840 Hulen St
Fort Worth, TX 76107-7277
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Counselor | 101YS0200X | 76758 (TX) |
| Professional Counselor Primary | 101YP2500X | 76758 (TX) |
Professional Counselor: Definition to come...
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About NPI 1730651696
Jacqueline A. Shannon's National Provider Identifier is 1730651696, issued on Dec 17, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Worth, TX. The record was last updated on Feb 8, 2019.