Individual
SHANNON MCNABB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
900 N ORANGE ST STE 304, MISSOULA, MT 59802-2951
(406) 327-3362
(406) 327-3349
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(509) 824-1284
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
SWP-LCPC-LIC-8346
MT
101YP2500X
Professional Counselor
74821
TX
101YP2500X
Professional Counselor
Primary
BBH-LCPC-LIC-8346
MT
Other
Enumeration date
01/22/2015
Last updated
06/05/2024
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