Individual
ELAINE ROZANNA CODDINGTON-SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6202 IOLA AVE STE 111, LUBBOCK, TX 79424-2745
(806) 928-9673
Mailing address
PO BOX 16432, LUBBOCK, TX 79490-6432
(806) 928-9673
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
82882
TX
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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