Individual
SHANNON CELESTE LOOS-VANKAWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3400 COTTAGE WAY, STE G2 #9735, SACRAMENTO, CA 95825
(562) 304-5843
Mailing address
3400 COTTAGE WAY, STE G2 #9735, SACRAMENTO, CA 95825
(562) 304-5843
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC9007
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
07/20/2018
Last updated
06/01/2023
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