Abernathy, Shannon

Abernathy, Shannon is an individual health care provider with primary practice located at 115C Coral St , Santa Cruz CA 95060-2148. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Abernathy, Shannon can be contacted via phone (831) 459-6644.

Contact Information

Primary practice address
115C Coral St Santa Cruz CA 95060-2148
Phone: (831) 459-6644
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1033427125
LBN Legal business name Abernathy, Shannon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2010
Last updated Sep 22nd, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1033427125 NPPES
Other 44P RSS/CSOP PROVIDER IDENTIFIER NUMBER

Popular Providers