Cynthia Shannon, Lmft, Pllc | |
3201 University Dr E Ste 200 Bryan TX 77802-3475 | |
(979) 571-8964 | |
Not Available |
Full Name | Cynthia Shannon, Lmft, Pllc |
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Speciality | Marriage & Family Therapist |
Location | 3201 University Dr E, Bryan, Texas |
Authorized Official Name and Position | Cynthia Shannon (SOLE MEMBER) |
Authorized Official Contact | 9795718964 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cynthia Shannon, Lmft, Pllc 3201 University Dr E Ste 200 Bryan TX 77802-3475 Ph: (979) 571-8964 | Cynthia Shannon, Lmft, Pllc 3201 University Dr E Ste 200 Bryan TX 77802-3475 Ph: (979) 571-8964 |
NPI Number | 1366813958 |
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Provider Enumeration Date | 10/08/2015 |
Last Update Date | 10/08/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366813958 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 201724 (Texas) | Primary |
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