Healthcare Provider Details

I. General information

NPI: 1952076341
Provider Name (Legal Business Name): SHANNON D HOFFMAN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2021
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3150 N 12TH ST
GRAND JUNCTION CO
81506-2863
US

IV. Provider business mailing address

PO BOX 10700
GRAND JUNCTION CO
81502-5517
US

V. Phone/Fax

Practice location:
  • Phone: 970-243-5437
  • Fax: 970-243-7792
Mailing address:
  • Phone: 970-245-9370
  • Fax: 970-254-2595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0017227
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: