Individual
SHANNON TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
4917 UNDERWOOD AVE, OMAHA, NE 68132-2421
(402) 819-1020
Mailing address
1523 S 49TH ST, OMAHA, NE 68106-2434
(402) 676-2137
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14133
NE
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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