Individual
SHANNON RIESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
13829 HERITAGE CLUB DR # 901, TAMPA, FL 33613-2032
(423) 322-5990
Mailing address
13829 HERITAGE CLUB DR # 901, TAMPA, FL 33613-2032
(423) 322-5990
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT4930
FL
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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