MS. Shannon Marie Nansel, PEER SUPPORT SPECIAL

NPI #1619453370 in Kellogg, Idaho

Provider Information

NPI Number: 1619453370
Entity Type: Individual
Name: MS. Shannon Marie Nansel, PEER SUPPORT SPECIAL
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: PEER SUPPORT SPECIAL
Enumeration Date: Jul 16, 2018
Last Updated: Mar 21, 2022

Practice Location

Address: 740 MCKINLEY AVE
City: Kellogg
State: Idaho
ZIP Code: 83837-2693
Phone: (208) 512-1574

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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