Individual
SHAWNA ROEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3640 HIGHWAY 95 STE 120, BULLHEAD CITY, AZ 86442-4336
(928) 900-4748
(928) 420-8950
Mailing address
1959 E DESERT DR, FORT MOHAVE, AZ 86426-8802
(928) 862-8689
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCSW-19912
—
1041C0700X
Clinical Social Worker
Primary
19112
AZ
Other
Enumeration date
09/11/2019
Last updated
01/20/2025
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