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Individual

MS. SHANNON RAE PEELE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
850 TIDEWATER DR, SUITE A, NORFOLK, VA 23504-3300
(757) 616-0675
(757) 616-0738
Mailing address
104 FERGUSON PL, SUFFOLK, VA 23435-3259
(757) 535-6547
(757) 616-0738

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710101882
VA
1041C0700X
Clinical Social Worker
0904005849
VA

Other

Enumeration date
03/19/2007
Last updated
09/11/2025
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