Individual
SHANNON PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, LAC
Contact information
Practice address
115 PARKSIDE DR, COLORADO SPRINGS, CO 80910-3130
(719) 572-6340
(719) 447-4791
Mailing address
312 E YAMPA ST, COLORADO SPRINGS, CO 80903-2945
(719) 475-1908
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
163680
CO
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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