Jamie Shannon

NPI #1144635509 in Espanola, New Mexico

Provider Information

NPI Number: 1144635509
Entity Type: Individual
Name: Jamie Shannon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jun 24, 2014
Last Updated: Jun 24, 2014

Practice Location

Address: 404 HUNTER ST
City: Espanola
State: New Mexico
ZIP Code: 87532-2655
Phone: (505) 753-4123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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