Individual
SHANNON COUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1800 THRELKEL ST, RENO, NV 89512-3713
(775) 325-8231
Mailing address
170 S VIRGINIA ST STE 201, RENO, NV 89501-1903
(775) 325-8231
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
7511-S
NV
1041C0700X
Clinical Social Worker
Primary
9975-C
NV
Other
Enumeration date
05/04/2016
Last updated
02/27/2023
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