| Shannon Sheats Llc | |
|
328 S Central Ave Ste 101 Medford OR 97501-7274 | |
| (541) 500-8195 | |
| (540) 500-8196 |
| Full Name | Shannon Sheats Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 328 S Central Ave Ste 101, Medford, Oregon |
| Authorized Official Name and Position | Michael Sheats (OFFICE MANAGER) |
| Authorized Official Contact | 5416318634 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Sheats Llc 328 S Central Ave Ste 101 Medford OR 97501-7274 Ph: (541) 500-8195 | Shannon Sheats Llc 328 S Central Ave Ste 101 Medford OR 97501-7274 Ph: (541) 500-8195 |
| NPI Number | 1962111401 |
|---|---|
| Provider Enumeration Date | 11/22/2022 |
| Last Update Date | 11/22/2022 |
| Certification Date | 11/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962111401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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