Individual
SHANNON K. NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMFT, CCLS, PLLC
Contact information
Practice address
6322 SOVEREIGN ST, BLDG 1 STE 263, SAN ANTONIO, TX 78229-5142
(210) 317-2515
Mailing address
6322 SOVEREIGN ST STE 263, SAN ANTONIO, TX 78229-5188
(210) 317-2515
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
201450
TX
Other
Enumeration date
02/24/2014
Last updated
06/04/2020
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