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Individual

SHANNON RADAY

Active
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Individual

SHANNON RADAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MASTERS LEVEL

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701014791
VA
101YM0800X
Mental Health Counselor
12548
FL
101YM0800X
Mental Health Counselor
21908
CO
101YM0800X
Mental Health Counselor
22147
AZ
101YM0800X
Mental Health Counselor
Primary
7006
TN
101YM0800X
Mental Health Counselor
8980
LA

Other

Enumeration date
08/11/2011
Last updated
05/08/2025
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