Birkhold, Shannon Renee

Birkhold, Shannon Renee is an individual health care provider with primary practice located at 418 W Kalamazoo Ave , Kalamazoo MI 49007-3334. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Birkhold, Shannon Renee can be contacted via phone (269) 373-6000.

Contact Information

Primary practice address
418 W Kalamazoo Ave Kalamazoo MI 49007-3334
Phone: (269) 373-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 6301013953 Michigan

Profile Details

NPI number 1558502617
LBN Legal business name Birkhold, Shannon Renee
Credentials LLP, LPC, CAADC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2009
Last updated Oct 25th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558502617 NPPES
Michigan MEDICAID 774349006

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