MEDICARE: SHANNON FESSLER 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	4641	NV

General Provider Information

NPI Number	:	1275327876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANNON FESSLER LMFT

Provider Business Mailing Address
First Line	:	9514 HARLAN HILLS CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-1702
Country	:	US
Telephone Number	:	702-236-7809
Fax Number	:

Provider Business Practice Location Address
First Line	:	9514 HARLAN HILLS CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-1702
Country	:	US
Telephone Number	:	702-236-7809
Fax Number	:

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

Provider Enumeration Date	:	04/08/2025
Last Update Date	:	04/08/2025

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Directions to “ SHANNON FESSLER LMFT” Practice Location

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