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Individual
SHANNON LYNN FLETCHER
Active
Individual
SHANNON LYNN FLETCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
60380
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180278701
—
TX
05
—
180278702
—
TX
01
—
7345LC
BCBS OF TEXAS
TX
01
—
7490844
AETNA BEHAVIORAL HEALTH
TX
01
—
9447452
PHCS
TX
Enumeration date
08/11/2006
Last updated
10/09/2012
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