Individual
DONNA SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1055 TAYLOR AVE, SUITE 205, TOWSON, MD 21286-8317
(410) 296-2004
(410) 296-0094
Mailing address
1055 TAYLOR AVE, SUITE 205, TOWSON, MD 21286-8317
(410) 296-2004
(410) 296-0094
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
LC2971
MD
Other
Enumeration date
10/23/2009
Last updated
10/23/2009
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