Benjamin Luke Shannon

NPI #1023723533 in Newberg, Oregon

Provider Information

NPI Number: 1023723533
Entity Type: Individual
Name: Benjamin Luke Shannon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jan 18, 2023
Last Updated: Jan 18, 2023

Practice Location

Address: 414 N MERIDIAN ST
City: Newberg
State: Oregon
ZIP Code: 97132-2697
Phone: (503) 554-2390

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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