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Organization
SHANNON K. GARRETT-REDMOND LLC
Active
Organization
SHANNON K. GARRETT-REDMOND LLC
Active
Other names
Roots & Wings Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANNON K GARRETT-REDMOND LCSW (OWNER/CLINICIAN)
(434) 249-0167
Entity
Organization
Contact information
Practice address
6440 THOMAS JEFFERSON PKWY STE F, PALMYRA, VA 22963-6216
(434) 249-0167
Mailing address
6440 THOMAS JEFFERSON PKWY STE F, PALMYRA, VA 22963-6216
(434) 249-0167
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090401148
LCSW LICENSE
VA
Enumeration date
07/20/2022
Last updated
07/20/2022
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