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Individual
SHANNON DANESHRAD
Active
Individual
SHANNON DANESHRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., M.A.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSB94024192
CA
103TC0700X
Clinical Psychologist
Primary
PSY34382
CA
106H00000X
Marriage & Family Therapist
97344
CA
Other
Enumeration date
02/21/2017
Last updated
08/07/2024
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