Individual
MS. SHANNON ANNE NEEDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1534 BUENA VIS APT B, SAN CLEMENTE, CA 92672-5952
(949) 702-7646
Mailing address
1534 BUENA VIS APT B, SAN CLEMENTE, CA 92672-5952
(949) 702-7646
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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