Banuelos, Shannon Leann

Banuelos, Shannon Leann is an individual health care provider with primary practice located at 8045 E Portobello Ave , Mesa AZ 85212-1690. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Banuelos, Shannon Leann can be contacted via phone (480) 507-1404.

Contact Information

Primary practice address
8045 E Portobello Ave Mesa AZ 85212-1690
Phone: (480) 507-1404
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X

Profile Details

NPI number 1558406165
LBN Legal business name Banuelos, Shannon Leann
Credentials MAED COUNSELING
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Jul 8th, 2007 - about 17 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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