Individual
SHANNON RENE GORIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1460 WALTON BLVD STE 60, ROCHESTER HILLS, MI 48309-1729
(248) 608-4514
Mailing address
10975 CEDAR ISLAND RD, WHITE LAKE, MI 48386-2609
(248) 840-7792
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401017357
MI
101YM0800X
Mental Health Counselor
6401015889
MI
101YM0800X
Mental Health Counselor
6401017357
MI
Other
Enumeration date
02/09/2017
Last updated
11/03/2023
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