Individual
PAULA SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, LMFT, LCADC
Contact information
Practice address
5510 S. FT. APACHE RD, #220, LAS VEGAS, NV 89148
(702) 858-6455
(702) 442-9615
Mailing address
PO BOX 280, BENTON, AR 72018-0280
(501) 352-4178
(702) 442-9615
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00553-LC
NV
101YM0800X
Mental Health Counselor
Primary
CP1217
NV
101YM0800X
Mental Health Counselor
P2306014
AR
101YP2500X
Professional Counselor
CP1217
NV
106H00000X
Marriage & Family Therapist
3059
NV
106H00000X
Marriage & Family Therapist
M2312001
AR
106H00000X
Marriage & Family Therapist
MI0880
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250004786
—
NV
05
—
330740719
—
AR
05
—
71853
—
NV
Enumeration date
10/20/2014
Last updated
07/02/2025
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