Individual
MRS. SHANNON A SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6010 THOMAS JEFFERSON RD, FOREST, VA 24551-2408
(434) 941-5692
Mailing address
6010 THOMAS JEFFERSON RD, FOREST, VA 24551-2408
(434) 941-5692
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701015622
VA
Other
Enumeration date
11/17/2025
Last updated
12/01/2025
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