Individual
SHANNON RHODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1225 W CAYUSE LN, CAMP VERDE, AZ 86322-7440
(928) 567-7339
Mailing address
1225 W CAYUSE LN, CAMP VERDE, AZ 86322-7440
(928) 567-7339
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1139
AZ
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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