Organization
CYNTHIA SHANNON, LMFT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA SHANNON LMFT (SOLE MEMBER)
(979) 571-8964
Entity
Organization
Contact information
Practice address
3201 UNIVERSITY DR E, STE 200, BRYAN, TX 77802-3475
(979) 571-8964
Mailing address
3201 UNIVERSITY DR E, STE 200, BRYAN, TX 77802-3475
(979) 571-8964
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
201724
TX
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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