Individual
MS. SHANNON JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
3306 W CATALINA DR, PHOENIX, AZ 85017-5291
(602) 353-0703
(602) 353-0715
Mailing address
4220 N 20TH AVE, PHOENIX, AZ 85015-5101
(602) 279-7655
(602) 241-5756
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC12572
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LAC12572
LICENSE
AZ
Enumeration date
06/25/2007
Last updated
07/08/2007
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