Shannon, Carolyn Jean
Shannon, Carolyn Jean is an individual health care provider with primary practice located at 300 W Broadway Suite 223, Council Bluffs IA 51503-9045. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shannon, Carolyn Jean can be contacted via phone (712) 328-3086.Contact Information
Primary practice address
300 W Broadway Suite 223
Council Bluffs IA 51503-9045
Phone: (712) 328-3086
Fax: (712) 328-1346
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 05910 | Iowa |
Profile Details
| NPI number | 1578786489 |
|---|---|
| LBN Legal business name | Shannon, Carolyn Jean |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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