Individual
SHANNON SMOOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
MA, LPCC17567,PPSC
Contact information
Practice address
77 GLEN AVE APT 111, OAKLAND, CA 94611-4907
(341) 688-1809
Mailing address
77 GLEN AVE APT 111, OAKLAND, CA 94611-4907
(341) 688-1809
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC17567
CA
101YS0200X
School Counselor
—
CA
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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