Individual
SHANNIN S HAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 W CHARLESTON BLVD STE 300, LAS VEGAS, NV 89102-2313
(702) 251-8000
(702) 471-0120
Mailing address
1701 W CHARLESTON BLVD STE 300, LAS VEGAS, NV 89102-2313
(702) 251-8000
(702) 471-0120
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CI3337
NV
106S00000X
Behavior Technician
RBT-17-46790
NV
Other
Enumeration date
12/29/2017
Last updated
02/06/2024
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