Individual
SHANNON RAE SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCPC, LAC
Contact information
Practice address
1042 N 29TH ST, BILLINGS, MT 59101-0730
(406) 255-8481
(406) 657-3735
Mailing address
1042 N 29TH ST, BILLINGS, MT 59101-0730
(406) 255-8481
(406) 657-3735
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LAC-LAC-LIC-1406
MT
101YP2500X
Professional Counselor
Primary
SWP-LCPC-LIC-2435
MT
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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