Shannon L Martin, LPC LIC # 2018028478
NPI #1144803420 in Waynesville, Missouri
Provider Information
- NPI Number
- 1144803420
- Entity Type
- Individual
- Name
- Shannon L Martin, LPC LIC # 2018028478
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC LIC # 2018028478
- Enumeration Date
- May 4, 2021
- Last Updated
- May 4, 2021
Practice Location
- Address
- 1000 HOSPITAL RD
- City
- Waynesville
- State
- Missouri
- ZIP Code
- 65583-2634
- Phone
- (573) 774-5353
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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