Individual
PATRICIA SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
900 E MAIN ST, MEDFORD, OR 97504-7136
(541) 500-0977
Mailing address
1221 DISK DR, MEDFORD, OR 97501-6638
(541) 733-3683
(541) 842-7640
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C4048
OR
Other
Enumeration date
03/24/2008
Last updated
06/27/2023
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