Individual provider · Type 1 NPI
Jeremy Shannon
Mental Health Counselor · Phoenix, AZ
NPI number
1790657070
Active
Practice location
149 W Helena Dr
Phoenix, AZ 85023-6558
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LAC-22770 (AZ) |
Mental Health Counselor: Definition to come...
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About NPI 1790657070
Jeremy Shannon's National Provider Identifier is 1790657070, issued on Sep 18, 2025. 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 18, 2025.