MEDICARE: SHANNON GARNSEY LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	129678	CA

General Provider Information

NPI Number	:	1588132138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANNON GARNSEY LMFT

Provider Business Mailing Address
First Line	:	9829 BLUE LARKSPUR LN
Second Line	:
City	:	MONTEREY
State	:	CA
Zip	:	93940-6535
Country	:	US
Telephone Number	:	831-647-8490
Fax Number	:	831-920-2384

Provider Business Practice Location Address
First Line	:	9829 BLUE LARKSPUR LN
Second Line	:
City	:	MONTEREY
State	:	CA
Zip	:	93940-6535
Country	:	US
Telephone Number	:	831-647-8490
Fax Number	:	831-920-2384

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/12/2018
Last Update Date	:	02/10/2026

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