Organization
SHANNON PETERSON COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON E PETERSON PLMHP, PCMSW (OWNER)
(402) 519-0079
Entity
Organization
Contact information
Practice address
908 N HOWARD AVE STE 102, GRAND ISLAND, NE 68803-3529
(308) 398-6050
(308) 398-6051
Mailing address
908 N HOWARD AVE, GRAND ISLAND, NE 68803-3556
(308) 398-6050
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/21/2020
Last updated
01/17/2021
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