Individual
SHANNON BARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLPC, NCC
Contact information
Practice address
124 W GATES ST, BRUCE TWP, MI 48065-4494
(586) 752-9696
Mailing address
124 W GATES ST, BRUCE TWP, MI 48065-4494
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401013230
MI
Other
Enumeration date
11/02/2012
Last updated
11/02/2012
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