Individual
ABBY ANNE SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHC, NCC
Contact information
Practice address
709 3RD ST SW, WAVERLY, IA 50677-3233
(563) 608-4811
Mailing address
709 3RD ST SW, WAVERLY, IA 50677-3233
(563) 608-4811
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
094519
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005823
—
IA
Enumeration date
03/04/2019
Last updated
08/22/2025
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