Shannon Theobald

NPI #1134963440 in Elizabeth, Colorado

Provider Information

NPI Number
1134963440
Entity Type
Individual
Name
Shannon Theobald
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - School
Enumeration Date
Jun 21, 2024
Last Updated
Jun 21, 2024

Practice Location

Address
795 E KIOWA AVE UNIT 1471
ZIP Code
80107-5060
Phone
(720) 428-9809

Specialties & Taxonomy Codes

Specialty
Counselor - SchoolSchool

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