| Shannon Michelson Lcsw | |
|
10301 Alpine Dr Apt 6 Cupertino CA 95014-0926 | |
| (408) 337-0466 | |
| Not Available |
| Full Name | Shannon Michelson Lcsw |
|---|---|
| Speciality | Social Worker - School |
| Location | 10301 Alpine Dr Apt 6, Cupertino, California |
| Authorized Official Name and Position | Shannon Barbara Michelson (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 4086443627 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Michelson Lcsw Po Box 5956 San Jose CA 95150-5956 Ph: (408) 337-0466 | Shannon Michelson Lcsw 10301 Alpine Dr Apt 6 Cupertino CA 95014-0926 Ph: (408) 337-0466 |
| NPI Number | 1326779505 |
|---|---|
| Provider Enumeration Date | 06/20/2022 |
| Last Update Date | 06/20/2022 |
| Certification Date | 06/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326779505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041S0200X | Social Worker - School | (* (Not Available)) | Primary |
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