Badger, Shannon Marie

Badger, Shannon Marie is an individual health care provider with primary practice located at 18302 Irvine Blvd Ste 300 , Tustin CA 92780-3437. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Badger, Shannon Marie can be contacted via phone (714) 881-8645.

Contact Information

Primary practice address
18302 Irvine Blvd Ste 300 Tustin CA 92780-3437
Phone: (714) 881-8645
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1962774232
LBN Legal business name Badger, Shannon Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2012
Last updated Feb 2nd, 2012 - about 13 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.

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