Individual
SHANNON ELISE PEREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
T-LMHC
Contact information
Practice address
215 4TH AVE SE, CEDAR RAPIDS, IA 52401-1844
(319) 804-9071
Mailing address
3512 OLD ORCHARD RD NE, CEDAR RAPIDS, IA 52402-7640
(319) 720-0432
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
093703
IA
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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