Individual
MR. ERIC R SHINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MC
Contact information
Practice address
1232 E. BROADWAY RD SUIT #120, TEMPE, AZ 85282
(480) 784-1514
(480) 967-3528
Mailing address
18115 E BELLERIVE DR, QUEEN CREEK, AZ 85242-8419
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-10282
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
614356
—
AZ
Enumeration date
12/20/2006
Last updated
07/09/2007
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