| Shannon Theobald, | |
|
795 E Kiowa Ave Unit 1471, Elizabeth, CO 80107-5060 | |
| (720) 428-9809 | |
| Not Available |
| Full Name | Shannon Theobald |
|---|---|
| Gender | Female |
| Speciality | Counselor - School |
| Location | 795 E Kiowa Ave Unit 1471, Elizabeth, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134963440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YS0200X | Counselor - School | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Theobald, 795 E Kiowa Ave Unit 1471, Elizabeth, CO 80107-5060 Ph: () - | Shannon Theobald, 795 E Kiowa Ave Unit 1471, Elizabeth, CO 80107-5060 Ph: (720) 428-9809 |
Ken Billings, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 650 East Walnut, Elizabeth, CO 80107 Phone: 970-522-4549 Fax: 970-522-4211 | |
Allison Pusbach, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 650 E. Walnut, Elizabeth, CO 80107 Phone: 303-646-4519 Fax: 970-522-4211 | |
Tamara Mcnay, Counselor Medicare: Not Enrolled in Medicare Practice Location: 650 E. Walnut, Unit C, Elizabeth, CO 80107 Phone: 303-646-4519 Fax: 303-646-4451 | |
John Duhamel, CAC II, LPC Counselor Medicare: Medicare Enrolled Practice Location: 650 E. Walnut St, Elizabeth, CO 80107 Phone: 303-646-4519 Fax: 970-522-4211 | |
Mr. Montie S. Spino, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 650 East Walnut Street, Unit C, Elizabeth, CO 80107 Phone: 717-688-5021 | |
Brittany Razee-erosky, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 32285 Legacy Ridge St, Elizabeth, CO 80107 Phone: 303-345-7589 |