Healthcare Provider Details

I. General information

NPI: 1255241899
Provider Name (Legal Business Name): SHANNON PARAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6996 MISSION ST
DALY CITY CA
94014-2035
US

IV. Provider business mailing address

123 EDGEMONT DR BLDG A
DALY CITY CA
94015-3868
US

V. Phone/Fax

Practice location:
  • Phone: 650-550-7786
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number240032416
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: