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Individual
MR. SHANON THOMAS
Active
Individual
MR. SHANON THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
80382
TX
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
Primary
80382
TX
Other
Enumeration date
09/23/2019
Last updated
04/14/2021
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