Shannon Carroll

NPI #1043754955 in Hines, Oregon

Provider Information

NPI Number
1043754955
Entity Type
Individual
Name
Shannon Carroll
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Enumeration Date
Dec 12, 2016
Last Updated
Dec 12, 2016

Practice Location

Address
120 N ROANOKE
City
Hines
State
Oregon
ZIP Code
97738
Phone
(541) 573-1780

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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