Individual
SHANNON KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10639 W CHESTNUT PL, MARANA, AZ 85653-0169
(480) 721-5395
Mailing address
10639 W CHESTNUT PL, MARANA, AZ 85653-0169
(480) 721-5395
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
20302
AZ
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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