Individual
SHANNON O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, LCDC
Contact information
Practice address
1401 DEZARAE APT 3, SAN ANTONIO, TX 78253-5986
(210) 530-4167
Mailing address
1401 DEZARAE APT 3, SAN ANTONIO, TX 78253-5986
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12064
TX
104100000X
Social Worker
Primary
103360
TX
Other
Enumeration date
02/24/2012
Last updated
01/25/2021
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