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Individual

SHANNON RENEE MAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
409 E MAIN ST STE A, RADFORD, VA 24141-1983
(540) 731-0360
(540) 731-0362
Mailing address
409 E MAIN ST STE A, RADFORD, VA 24141-1983
(540) 731-0360
(540) 731-0362

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701003727
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010195853
VA
Enumeration date
07/14/2008
Last updated
07/14/2008
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