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Individual

DR. SHANNON KELLIM YOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LP, LCSW

Contact information

Practice address
1210 PEARL ST, EUGENE, OR 97401-3573
(541) 344-5440
Mailing address
1210 PEARL ST, EUGENE, OR 97401-3573
(541) 344-5440

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
2298
OR
1041C0700X
Clinical Social Worker
4454
OR

Other

Enumeration date
07/15/2009
Last updated
11/13/2024
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