Vanderkooi, Shannon Louise
Vanderkooi, Shannon Louise is an sole proprietor health care provider with primary practice located at 5698 W Glen Eagle Dr , West Valley City UT 84128-4013. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Vanderkooi, Shannon Louise can be contacted via phone (801) 969-4181.Contact Information
Primary practice address
5698 W Glen Eagle Dr
West Valley City UT 84128-4013
Phone: (801) 969-4181
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 54237883501 | Utah |
Profile Details
| NPI number | 1023366127 |
|---|---|
| LBN Legal business name | Vanderkooi, Shannon Louise |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 21st, 2012 |
| Last updated | Aug 21st, 2012 - 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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