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Individual

SHANNON STEPHENSON

Active
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Individual

SHANNON STEPHENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2023-0286
NM
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2023-0286
TX
104100000X
Social Worker
S.2614008
OH
104100000X
Social Worker
SWB-2026-0789
NM

Other

Enumeration date
09/29/2021
Last updated
09/29/2026
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