Individual provider · Type 1 NPI

Theodore Paul Shannon, PhD, MS

Counselor · Worthington, OH

NPI number 1992085831 Active

Practice location

1035 Proprietors Rd
Worthington, OH 43085-3230

Call (614) 785-1115 Map

Fax (614) 785-0095

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XC 0700153 (OH)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1992085831

Theodore Paul Shannon, PhD, MS's National Provider Identifier is 1992085831, issued on Aug 23, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Worthington, OH. The record was last updated on Aug 23, 2011.