Individual
SHANNON LEE KOSSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCADC
Contact information
Practice address
777 E WILLIAM ST STE 108, CARSON CITY, NV 89701-4057
(775) 400-2660
Mailing address
1944 MOLLY DR, CARSON CITY, NV 89706-2643
(916) 751-9899
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
08156-LC
NV
1041C0700X
Clinical Social Worker
Primary
11331-C
NV
Other
Enumeration date
10/06/2021
Last updated
03/22/2026
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