Individual
SHANNON BATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, L.M.F.T., LPC
Contact information
Practice address
1720 NW LOVEJOY ST STE 115, PORTLAND, OR 97209-2346
(503) 348-0405
Mailing address
4316 NE ALBERTA CT, PORTLAND, OR 97218-1528
(503) 348-0405
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2379
OR
106H00000X
Marriage & Family Therapist
34477
CA
Other
Enumeration date
05/23/2007
Last updated
02/20/2020
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