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NPI Code Detail

MEDICARE: SHANNON MICHELE DINNING MA, LPC

MEDICARE:   SHANNON MICHELE DINNING  MA, LPC
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
1322D00000XEmotionally Disturbed Childrens' Residential Treatment Facility
2385H00000XRespite Care
3324500000XSubstance Abuse Rehabilitation Facility
4385HR2055XChild Mental Illness Respite Care
5101YP2500XProfessional CounselorLPC-13319AZ
6101YM0800XMental Health CounselorAZ
7253Z00000XIn Home Supportive Care Agency
8320800000XMental Illness Community Based Residential Treatment Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336461573
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON MICHELE DINNING MA, LPC
Provider Business Mailing Address
First Line : 839 W CONGRESS ST
Second Line :
City : TUCSON
State : AZ
Zip : 85745-2819
Country : US
Telephone Number : 520-670-3909
Fax Number : 520-309-2560
Provider Business Practice Location Address
First Line : 3950 S COUNTRY CLUB RD STE 130
Second Line :
City : TUCSON
State : AZ
Zip : 85714-2203
Country : US
Telephone Number : 520-670-3909
Fax Number : 520-309-2560
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2010
Last Update Date : 07/24/2025

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Directions to “ SHANNON MICHELE DINNING MA, LPC” Practice Location

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