NPI 1003746801

Shannon Hallstrom, LPC

Practitioner Counselor Mesa, AZ

Practice location

Address: 9025 E Vine Ave, Mesa, AZ 85208-2346
Phone: (480) 380-3868

Registered specialties

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence 1281717 (ID)

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Registry record

NPI: 1003746801
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 May 2026
Record last updated: 22 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.