Individual
JENNIFER ROSE SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1562 6TH ST NW, SALEM, OR 97304-3944
(714) 642-6294
Mailing address
1562 6TH ST NW, SALEM, OR 97304-3944
(714) 642-6294
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
149485
CA
106H00000X
Marriage & Family Therapist
Primary
T2939
OR
Other
Enumeration date
05/31/2022
Last updated
01/29/2025
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