Individual
SHANNON M FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
1340 BLAIRS FERRY RD, HIAWATHA, IA 52233-1900
(917) 817-5938
Mailing address
1340 BLAIRS FERRY RD, HIAWATHA, IA 52233-1900
(917) 817-5938
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
114763
IA
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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