Individual
SHANNON THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
222 N MILL ST, FESTUS, MO 63028-1818
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2022027116
MO
104100000X
Social Worker
Primary
2022027116
MO
Other
Enumeration date
07/26/2022
Last updated
02/17/2026
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