Individual provider · Type 1 NPI

Shannon Lee South, LPCC

Mental Health Counselor · Albuquerque, NM

NPI number 1841613007 Active

Practice location

8300 Constitution Ave NE
Albuquerque, NM 87110-7613

Call (505) 291-2000 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X0002151 (CO)
Mental Health Counselor Primary 101YM0800X0160441 (NM)

Mental Health Counselor: Definition to come...

105 other providers at this address

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About NPI 1841613007

Shannon Lee South, LPCC's National Provider Identifier is 1841613007, issued on Jan 23, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Albuquerque, NM. The record was last updated on Jan 23, 2014.