Individual
SHANNON LEE ANN STANCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
710 W 8TH ST, FORT SCOTT, KS 66701-2404
(785) 893-2473
Mailing address
166 HOLIDAY DR, LINN VALLEY, KS 66040-5455
(913) 337-1433
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1647
KS
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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