Individual
ORLANDO SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2105 CAPURRO WAY, SUITE 100, SPARKS, NV 89431-8518
(775) 420-5396
Mailing address
2105 CAPURRO WAY, SUITE 100, SPARKS, NV 89431
(775) 420-5396
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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