Individual
SHANNON MARY TAGNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18730 GRAND AVE, LAKE ELSINORE, CA 92530-6256
(951) 253-7400
Mailing address
18730 GRAND AVE, LAKE ELSINORE, CA 92530-6256
(951) 253-7400
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
15368
CA
101YS0200X
School Counselor
Primary
260015714
CA
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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