Individual
MS. SHANNON S WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
980 E. MILLSAP, SUITE 5, FAYETTEVILLE, AR 72703
(479) 530-8201
Mailing address
980 EAST MILLSAP, SUITE 5, FAYETTEVILLE, AR 72703
(479) 530-8201
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P0308035
AR
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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