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NPI Code Detail

MEDICARE: SHANNON HOPPENSTEDT LMFT

MEDICARE:   SHANNON  HOPPENSTEDT  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
1106H00000XMarriage & Family Therapist117203CA

General Provider Information

NPI Number : 1619517216
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON HOPPENSTEDT LMFT
Provider Business Mailing Address
First Line : 11846 VENTURA BLVD STE 204
Second Line :
City : STUDIO CITY
State : CA
Zip : 91604-2620
Country : US
Telephone Number : 310-809-9593
Fax Number :
Provider Business Practice Location Address
First Line : 11846 VENTURA BLVD STE 204
Second Line :
City : STUDIO CITY
State : CA
Zip : 91604-2620
Country : US
Telephone Number : 310-809-9593
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2020
Last Update Date : 12/29/2025

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Directions to “ SHANNON HOPPENSTEDT LMFT” Practice Location

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