Individual provider · Type 1 NPI

Shannon Blackwell

Mental Health Counselor · Eugene, OR

NPI number 1891465290 Active

Practice location

78 Centennial Loop Ste A
Eugene, OR 97401-7900

Fax (541) 687-9279

Other practice locations

  • 1040 Oak St, Eugene, OR 97401-3132 · (541) 342-6987

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1891465290

Shannon Blackwell's National Provider Identifier is 1891465290, issued on Sep 16, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eugene, OR. The record was last updated on Oct 9, 2024.