Individual
MISS SHANNON MCCARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2 LOS PLATILLOS, RANCHO SANTA MARGARITA, CA 92688-3230
(315) 221-0897
Mailing address
2 LOS PLATILLOS, RANCHO SANTA MARGARITA, CA 92688-3230
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/11/2012
Last updated
09/02/2020
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