MEDICARE: MRS. SHANNON L SCHLIEP M. ED

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	101YM0800X	Mental Health Counselor	LH00007155	WA

General Provider Information

NPI Number	:	1669580320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHANNON L SCHLIEP M. ED

Provider Business Mailing Address
First Line	:	4318 W 15TH AVE
Second Line	:
City	:	KENNEWICK
State	:	WA
Zip	:	99338-2209
Country	:	US
Telephone Number	:	509-237-9393
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 N HOWARD ST STE W
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99201-0508
Country	:	US
Telephone Number	:	509-731-4875
Fax Number	:

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

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	12/05/2023

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