NPI 1083025050
Shannon Carballo
Practice location
- Address
- 105 W 4th Ave, Williamson, WV 25661-3111
- Phone
- (304) 236-3517
- Fax
- (304) 236-3517
Registered specialties
Mental Health Counselor
Primary
Registry record
- NPI
- 1083025050
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 May 2014
- Record last updated
- 31 Oct 2016
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.