Shannon Trout

NPI #1871974238 in Lower Lake, California

Provider Information

NPI Number: 1871974238
Entity Type: Individual
Name: Shannon Trout
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jun 11, 2015
Last Updated: Mar 22, 2017

Practice Location

Address: 16170 MAIN ST STE F
City: Lower Lake
State: California
ZIP Code: 95457-7603
Phone: (707) 994-5486

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Counselor	101Y00000X	Primary

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