Fistner, Shannon

Fistner, Shannon is an individual health care provider with primary practice located at 2025 Aerojet Rd , Rancho Cordova CA 95742-6418. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Fistner, Shannon can be contacted via phone (510) 299-0453.

Contact Information

Primary practice address
2025 Aerojet Rd Rancho Cordova CA 95742-6418
Phone: (510) 299-0453
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 51992 California

Profile Details

NPI number 1356538920
LBN Legal business name Fistner, Shannon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2007
Last updated Jan 3rd, 2022 - about 2 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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