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Individual

MRS. SHANNON N PROBASCO

Active
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Individual

MRS. SHANNON N PROBASCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PLPC, LCMHC

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PLC9324
LA
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
PLC9324
LA

Other

Enumeration date
09/14/2022
Last updated
05/11/2026
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