Shannon, Karin
Shannon, Karin is an sole proprietor health care provider with primary practice located at 16941 N Eagle River Loop Rd , Eagle River AK 99577-7824. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Shannon, Karin can be contacted via phone (907) 406-7707.Contact Information
Primary practice address
16941 N Eagle River Loop Rd
Eagle River AK 99577-7824
Phone: (907) 406-7707
Fax: (907) 931-7248
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 196321 | Alaska |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
NPI number | 1679185011 |
---|---|
LBN Legal business name | Shannon, Karin |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 18th, 2020 |
Last updated | Apr 4th, 2024 - about last year |
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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