MR. Shannon Lee Harding

NPI #1235675133 in Vinita, Oklahoma

Provider Information

NPI Number: 1235675133
Entity Type: Individual
Name: MR. Shannon Lee Harding
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jan 16, 2017
Last Updated: Feb 1, 2017

Practice Location

Address: 405 E EXCELSIOR AVE
City: Vinita
State: Oklahoma
ZIP Code: 74301-4226
Phone: (918) 320-3857

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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