Organization
SHANNON MICHELSON LCSW
Active
Other names
SHANNON BARBARA MICHELSON
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON BARBARA MICHELSON LCSW (MENTAL HEALTH THERAPIST)
(408) 644-3627
Entity
Organization
Contact information
Practice address
10301 ALPINE DR APT 6, CUPERTINO, CA 95014-0926
(408) 337-0466
Mailing address
PO BOX 5956, SAN JOSE, CA 95150-5956
(408) 337-0466
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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