Individual
SHANNON E. FERRY BRANAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
541 WILLAMETTE ST STE 407A, EUGENE, OR 97401-2696
(541) 209-0289
(999) 999-9999
Mailing address
541 WILLAMETTE ST STE 407A, EUGENE, OR 97401-2696
(541) 209-0289
(999) 999-9999
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
OR
1041C0700X
Clinical Social Worker
Primary
L10532
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L10532
LCSW LICENSE
OR
Enumeration date
10/08/2015
Last updated
04/29/2022
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