| Doctor Name: | MRS. SHANNON SANDENO |
| NPI Number: | 1003117862 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA/LMHC |
| License Number: | LH00010349 |
| Business Practice Address: | 1900 Rainier Ave S Seattle, WA - 98144 |
| Business Phone Number: | 2068263050 |
| Business Fax Number: | 8664510126 |
| Mailing Address: | 1900 Rainier Ave S, SEATTLE |
| State: | WA |
| Postal Code: | 98144 |
| Phone Number: | 2068263050 |
| Fax Number: | 8664510126 |
| NPI Enumeration Date: | 11/10/2010 |
| NPI Last Update Date: | 11/10/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LH00010349 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |