Individual
SHANNON ASHLEY ATKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
0904005944
VA
1041C0700X
Clinical Social Worker
10700
SC
1041C0700X
Clinical Social Worker
Primary
C009134
NC
Other
Enumeration date
02/04/2011
Last updated
10/06/2015
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