Individual
MS. KATHLEEN BRADLEY SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
15 JANE JACOBS RD STE 102, BLACK MOUNTAIN, NC 28711
(828) 243-7988
Mailing address
964 HOLLY RD, BLACK MOUNTAIN, NC 28711-9709
(828) 243-7988
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/28/2010
Last updated
02/26/2020
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