Individual
DR. SHANNON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2520 SAINT ROSE PKWY STE 110, HENDERSON, NV 89074-7784
(725) 290-1238
Mailing address
2520 SAINT ROSE PKWY STE 110, HENDERSON, NV 89074-7784
(725) 290-1238
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0003348
OH
101YM0800X
Mental Health Counselor
CP0033
NV
101YP2500X
Professional Counselor
Primary
0033
NV
Other
Enumeration date
01/31/2012
Last updated
05/24/2025
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