Individual
SHANNON MARIE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2170 E HARMON AVE, LAS VEGAS, NV 89119-7840
(702) 794-0100
Mailing address
3097 E WARM SPRINGS RD STE 100, LAS VEGAS, NV 89120-3757
(702) 291-7482
(702) 718-6718
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
06917-L
NV
Other
Enumeration date
05/05/2020
Last updated
01/05/2026
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