Individual
SHANNON LATRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
22 BRIMSTONE ST STE A, BUTTE, MT 59701-4978
(406) 560-2799
Mailing address
22 BRIMSTONE ST STE A, BUTTE, MT 59701-4978
(406) 560-2799
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
12837764-6004
UT
101YM0800X
Mental Health Counselor
13387-MH-CC
MA
101YM0800X
Mental Health Counselor
37PC00912400
NJ
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-17894
MT
101YM0800X
Mental Health Counselor
C7145
OR
101YM0800X
Mental Health Counselor
CC6660
ME
101YM0800X
Mental Health Counselor
LPC-21627
AZ
101YM0800X
Mental Health Counselor
PRC200001490
DC
Other
Enumeration date
02/24/2022
Last updated
10/04/2024
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