Individual
SHANNON RENEE WILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
21270 MAYFAIRE LN UNIT 301, LEXINGTON PARK, MD 20653-5394
(410) 463-1655
Mailing address
21270 MAYFAIRE LN UNIT 301, LEXINGTON PARK, MD 20653-5394
(410) 463-1655
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP11287
MD
Other
Enumeration date
08/29/2011
Last updated
04/13/2021
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