Shannon Carballo
NPI #1083025050 in Williamson, West Virginia
Provider Information
- NPI Number
- 1083025050
- Entity Type
- Individual
- Name
- Shannon Carballo
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- May 13, 2014
- Last Updated
- Oct 31, 2016
Practice Location
- Address
- 105 W 4TH AVE
- City
- Williamson
- State
- West Virginia
- ZIP Code
- 25661-3111
- Phone
- (304) 236-3517
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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