Individual provider · Type 1 NPI

Shana L. McKissick, MA, LAC

Mental Health Counselor · Phoenix, AZ

NPI number 1760154678 Active

Practice location

16815 S Desert Foothills Pkwy Ste 134
Phoenix, AZ 85048-8465

Mailing address

291 N Kenneth Pl
Chandler, AZ 85226-2944

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLAC20269 (AZ)

Mental Health Counselor: Definition to come...

10 other providers at this address

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About NPI 1760154678

Shana L. McKissick, MA, LAC's National Provider Identifier is 1760154678, issued on Sep 29, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 29, 2021.