| Doctor Name: | SHANNON M MOUNT |
| NPI Number: | 1245660471 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW, ACSW |
| License Number: | 34003952A |
| Business Practice Address: | 1482 Mallard Xing Scottsburg, IN - 471707493 |
| Business Phone Number: | 8125951575 |
| Business Fax Number: | |
| Mailing Address: | 1482 Mallard Xing, SCOTTSBURG |
| State: | IN |
| Postal Code: | 471707493 |
| Phone Number: | 8127527577 |
| Fax Number: | |
| NPI Enumeration Date: | 11/25/2013 |
| NPI Last Update Date: | 11/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 34003952A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |