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General NPI Number Information
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NPI Number | 1275937252
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Entity Type | Individual
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Provider Name | PAULA SHANNON LCPC, LMFT, LCADC
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Gender | Female
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Dates
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Enumeration Date | 10/20/2014
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 5510 S. FT. APACHE RD #220
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City | LAS VEGAS
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State | NV
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Zip | 89148
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Country | US
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Telephone | 702-858-6455
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Fax | 702-442-9615
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Provider Business Mailing Address
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Address Line | PO BOX 280
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City | BENTON
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State | AR
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Zip | 72018-0280
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Country | US
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Telephone | 501-352-4178
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Fax | 702-442-9615
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 00553-LC
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | P2306014
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | CP1217
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MI0880
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License Number State | NV
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 3059
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License Number State | NV
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Taxonomy #6
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | M2312001
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License Number State | AR
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Taxonomy #7
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CP1217
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License Number State | NV
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