Individual
MRS. KIMBERLY LYNN SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.M.F.T.
Contact information
Practice address
118 E 8TH ST, PORT ANGELES, WA 98362-6129
(360) 457-0431
(360) 457-0493
Mailing address
118 E 8TH ST, PORT ANGELES, WA 98362-6129
(360) 457-0431
(360) 457-0493
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC23791
CA
Other
Enumeration date
05/15/2009
Last updated
10/22/2019
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