Organization
THE MINDFUL GOLDFISH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON LEE KOSSICK LCSW (OWNER/MANAGER)
(916) 751-9899
Entity
Organization
Contact information
Practice address
777 E WILLIAM ST STE 108, CARSON CITY, NV 89701-4057
(775) 400-2660
Mailing address
1111 S ROOP ST UNIT 241, CARSON CITY, NV 89702-7110
(775) 400-2660
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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