NPI 1144803420

Shannon L Martin, LPCLIC

Practitioner Professional Counselor Waynesville, MO

Practice location

Address: 1000 Hospital Rd, Waynesville, MO 65583-2634
Phone: (573) 774-5353
Fax: (573) 774-2907
Mailing address: 284 Hill N Dale Dr, Camdenton, MO 65020-5101

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 2018028478 (MO)

Other Counselor providers in Missouri →

Registry record

NPI: 1144803420
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 May 2021
Record last updated: 4 May 2021

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.