Individual
SHANNON B HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, CAP
Contact information
Practice address
114 W NEW YORK AVE, SUITE C, DELAND, FL 32720-5416
(386) 451-6343
Mailing address
2369 S OAK PARK DR, DELAND, FL 32724-8412
(386) 451-6343
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT 2619
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008810600
—
FL
Enumeration date
05/13/2013
Last updated
02/12/2014
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