Individual
ALICE E SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
455 I ST STE 203, ARCATA, CA 95521-6195
(707) 822-1716
(707) 839-1640
Mailing address
PO BOX 2780, MCKINLEYVILLE, CA 95519-2780
(707) 822-1716
(707) 839-1640
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
28722
CA
Other
Enumeration date
11/26/2006
Last updated
12/16/2024
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