Individual
SHANEQUIA SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5776 STONERIDGE MALL RD STE 340, PLEASANTON, CA 94588-4514
(925) 223-8047
Mailing address
1333 WILLOW PASS RD STE 200, CONCORD, CA 94520-7923
(925) 825-1793
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
11/21/2023
Last updated
09/09/2024
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