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NPI Code Detail

MEDICARE: SHANNON M ALGEO MA, AMFT, APCC

MEDICARE: SHANNON M ALGEO MA, AMFT, APCC
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
1101YM0800XMental Health Counselor13859CA
2106H00000XMarriage & Family Therapist139516CA

General Provider Information

NPI Number : 1902657869
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON M ALGEO MA, AMFT, APCC
Provider Business Mailing Address
First Line : 201 OJAI AVE UNIT 515
Second Line :
City : OJAI
State : CA
Zip : 93024-7020
Country : US
Telephone Number : 323-736-2007
Fax Number :
Provider Business Practice Location Address
First Line : 200 E DEL MAR BLVD STE 160
Second Line :
City : PASADENA
State : CA
Zip : 91105-2507
Country : US
Telephone Number : 310-400-6460
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2024
Last Update Date : 03/28/2024

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