Underwood, Shadoe

Underwood, Shadoe is an individual health care provider with primary practice located at 711 Barnes Ave , La Junta CO 81050-2138. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Underwood, Shadoe can be contacted via phone (719) 384-5446.

Contact Information

Primary practice address
711 Barnes Ave La Junta CO 81050-2138
Phone: (719) 384-5446
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC.0017630 Colorado

Profile Details

NPI number 1720469166
LBN Legal business name Underwood, Shadoe
Credentials M.S., L.P.C., N.C.C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2015
Last updated Nov 15th, 2022 - about 2 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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