Shannon Anderson
Counselor in Livonia, MI. Individual provider (NPI-1).
NPI number1184138471
StatusActive
Last updated in NPPESNov 22, 2017
Details
- NPI
- 1184138471
- Entity type
- Individual (NPI-1)
- Name
- Shannon Anderson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 22, 2017
- Last updated
- Nov 22, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | 6401015625 | MI | Yes |
Practice location
33231 Schoolcraft Road Suite 210Livonia, MI 48150
Phone 734-266-6800
Mailing address
33855 Pondview CirLivonia, MI 48152-1473
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