Individual
MRS. SHANNON TOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1463 OAKFIELD DR STE 102, BRANDON, FL 33511-3893
(813) 655-4166
Mailing address
2003 GOLF MANOR BLVD, VALRICO, FL 33596-7289
(812) 841-2071
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
—
—
172V00000X
Community Health Worker
—
—
222Q00000X
Developmental Therapist
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
05/09/2024
Last updated
09/09/2024
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