Individual
SHANNON E O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
3505 CALLE CUERVO NW APT 1117, ALBUQUERQUE, NM 87114-9218
(505) 644-2069
Mailing address
3505 CALLE CUERVO NW APT 1117, ALBUQUERQUE, NM 87114-9218
(505) 644-2069
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB20220935
NM
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/03/2017
Last updated
06/04/2025
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