Shannon, Kathleen Noelle

Shannon, Kathleen Noelle is an sole proprietor health care provider with primary practice located at 18811 Huntington St Suite 200, Huntington Beach CA 92648. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Shannon, Kathleen Noelle can be contacted via phone (928) 925-2467.

Contact Information

Primary practice address
18811 Huntington St Suite 200 Huntington Beach CA 92648
Phone: (928) 925-2467
Fax: (714) 969-8808
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X C.A.D.A.C. 1591 Arizona
Behavioral Health & Social Service Providers / Mental Health 101YM0800X L.P.C. 2093 Arizona
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 49712 California

Profile Details

NPI number 1780749416
LBN Legal business name Shannon, Kathleen Noelle
Credentials M.A., .M.F.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2006
Last updated Apr 1st, 2011 - about 13 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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