| Shannon Coon Bsn | |
|
1474 Bloomfield Rd Sebastopol CA 95472-5511 | |
| (707) 823-0848 | |
| Not Available |
| Full Name | Shannon Coon Bsn |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1474 Bloomfield Rd, Sebastopol, California |
| Authorized Official Name and Position | Shannon A Coon (BEHAVIORAL HEALTH SPECIALISTS) |
| Authorized Official Contact | 7078230848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Coon Bsn 1474 Bloomfield Rd Sebastopol CA 95472-5511 Ph: (707) 823-0848 | Shannon Coon Bsn 1474 Bloomfield Rd Sebastopol CA 95472-5511 Ph: (707) 823-0848 |
| NPI Number | 1114326576 |
|---|---|
| Provider Enumeration Date | 08/21/2014 |
| Last Update Date | 08/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114326576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 485610 (California) | Primary |
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