Kaitlyn Dawn Shannon

NPI #1295341865 in Rock Island, Illinois

Provider Information

NPI Number: 1295341865
Entity Type: Individual
Name: Kaitlyn Dawn Shannon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Sep 19, 2020
Last Updated: Sep 19, 2020

Practice Location

Address: 2701 17TH ST
City: Rock Island
State: Illinois
ZIP Code: 61201-5351
Phone: (309) 779-2031

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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