Individual
SHANNON M ELITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 E 5600 S STE 304, MURRAY, UT 84107-8174
(801) 272-3420
Mailing address
230 PAGES PL APT 4, BOUNTIFUL, UT 84010-6056
(435) 592-1542
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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