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Individual
SHANNON N LEARY
Active
Individual
SHANNON N LEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC, CSAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710102436
VA
101YP2500X
Professional Counselor
Primary
0701005299
VA
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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