Healthcare Provider Details

I. General information

NPI: 1639004732
Provider Name (Legal Business Name): SHANNON CAMERON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2437 SHELBY ST
INDIANAPOLIS IN
46203-4252
US

IV. Provider business mailing address

2437 SHELBY ST
INDIANAPOLIS IN
46203-4252
US

V. Phone/Fax

Practice location:
  • Phone: 301-351-0130
  • Fax:
Mailing address:
  • Phone: 301-351-0130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number88003195A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: