Doctor Name: | SHANNON WINTER |
NPI Number: | 1164677225 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | 705 |
Business Practice Address: | 1301 N 2nd St Atchison, KS - 660021297 |
Business Phone Number: | 9133671593 |
Business Fax Number: | 9133671627 |
Mailing Address: | 500 Limit St, LEAVENWORTH |
State: | KS |
Postal Code: | 660484435 |
Phone Number: | 9136825118 |
Fax Number: | 9136824664 |
NPI Enumeration Date: | 11/17/2008 |
NPI Last Update Date: | 11/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 705 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |