Thompson, Shannon Kathleen

Thompson, Shannon Kathleen is an sole proprietor health care provider with primary practice located at 33442 1St Way S Ste 101, Federal Way WA 98003-6210. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Thompson, Shannon Kathleen can be contacted via phone (253) 320-3020.

Contact Information

Primary practice address
33442 1St Way S Ste 101 Federal Way WA 98003-6210
Phone: (253) 320-3020
Fax: (253) 486-1902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 60106650 Washington

Profile Details

NPI number 1356490478
LBN Legal business name Thompson, Shannon Kathleen
Credentials LH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2007
Last updated Aug 5th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356490478 NPPES
Washington MEDICAID 2024997

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