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NPI Code Detail

MEDICARE: SHANNON SCHAFHAUSEN LPC

MEDICARE: SHANNON SCHAFHAUSEN 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
1101YM0800XMental Health Counselor17146NC
2101YM0800XMental Health CounselorMH15595FL
3101YP2500XProfessional CounselorLPC.0005452CO
4101YM0800XMental Health CounselorLPC.0005452CO

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 : 1922330091
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON SCHAFHAUSEN LPC
Provider Business Mailing Address
First Line : 9475 BRIAR VILLAGE PT STE 320
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-7905
Country : US
Telephone Number : 970-310-3406
Fax Number :
Provider Business Practice Location Address
First Line : 9475 BRIAR VILLAGE PT STE 320
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-7905
Country : US
Telephone Number : 970-310-3406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2010
Last Update Date : 10/14/2024

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Directions to “ SHANNON SCHAFHAUSEN LPC” Practice Location

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