Young, Shannon Kellim

Young, Shannon Kellim is an sole proprietor health care provider with primary practice located at 1461 Hilyard St , Eugene OR 97401-4311. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Young, Shannon Kellim can be contacted via phone (541) 255-8255.

Contact Information

Primary practice address
1461 Hilyard St Eugene OR 97401-4311
Phone: (541) 255-8255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4454 Oregon
Behavioral Health & Social Service Providers / Counseling 103TC1900X 2298 Oregon

Profile Details

NPI number 1750511408
LBN Legal business name Young, Shannon Kellim
Credentials LP, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2009
Last updated Apr 22nd, 2014 - about 11 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.

Request for update

Popular Providers