Individual
SHANNON KASIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2029 P ST NW STE 202, WASHINGTON, DC 20036-6902
(240) 904-8792
Mailing address
2029 P ST NW STE 202, WASHINGTON, DC 20036-6902
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548413032
NPI FOR PRACTICE
—
Enumeration date
06/01/2021
Last updated
06/01/2021
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