Individual
SHANNON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC-A
Contact information
Practice address
1406 E JOLIET ST, CROWN POINT, IN 46307-4724
(219) 736-8100
Mailing address
9228 BIGGER ST, MERRILLVILLE, IN 46410-5926
(908) 370-7699
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88000862A
IN
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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