Mcnamara, Shannon Jeanne
Mcnamara, Shannon Jeanne is an sole proprietor health care provider with primary practice located at 520 E. Coeur D'Alene Ave , Coeur D Alene ID 83814-3145. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mcnamara, Shannon Jeanne can be contacted via phone (208) 651-6501.Contact Information
Primary practice address
520 E. Coeur D'Alene Ave
Coeur D Alene ID 83814-3145
Phone: (208) 651-6501
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW-34346 | Idaho |
Profile Details
| NPI number | 1649467713 |
|---|---|
| LBN Legal business name | Mcnamara, Shannon Jeanne |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2007 |
| Last updated | Feb 16th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649467713 | NPPES |
| Idaho | Other | LCSW-34346 | STATE LICENSURE |
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