Kroenke, Shannon Marie

Kroenke, Shannon Marie is an sole proprietor health care provider with primary practice located at 101 E 8Th St Ste 110 , Vancouver WA 98660-3294. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Military Health Care Provider. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kroenke, Shannon Marie can be contacted via phone (360) 524-2126.

Contact Information

Primary practice address
101 E 8Th St Ste 110 Vancouver WA 98660-3294
Phone: (360) 524-2126
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LW60887254 Washington
Other Service Providers / Military Health Care Provider 171000000X LW60887254 Washington

Profile Details

NPI number 1407109408
LBN Legal business name Kroenke, Shannon Marie
Credentials MSW, LCSW, MT-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2012
Last updated Mar 10th, 2022 - about 3 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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