Williams, Shanna

Williams, Shanna is an sole proprietor health care provider with primary practice located at 8495 Crater Lake Hwy , White City OR 97503-3011. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Williams, Shanna can be contacted via phone (541) 826-2111.

Contact Information

Primary practice address
8495 Crater Lake Hwy White City OR 97503-3011
Phone: (541) 826-2111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301018846 Michigan

Profile Details

NPI number 1851644199
LBN Legal business name Williams, Shanna
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2012
Last updated Jun 16th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851644199 NPPES
Michigan Other 6301018846 LICENSE NUMBER

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