Individual
SHANNON CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1237 W DIVIDE AVE, BISMARCK, ND 58501-1220
(701) 319-7105
Mailing address
1237 W DIVIDE AVE, BISMARCK, ND 58501-1220
(701) 319-7105
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6616
ND
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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