| Doctor Name: | DR. SHANNON M LILJA |
| NPI Number: | 1336301621 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DBH LPC LMHC CDP CAD |
| License Number: | RC60020400 |
| Business Practice Address: | 818 Commercial St Ste 305 (second Office In Beaverton, Oregon) Astoria, OR - 971034553 |
| Business Phone Number: | 5032605118 |
| Business Fax Number: | |
| Mailing Address: | Po Box 177, Sandalwood Counseling Llc SKAMOKAWA |
| State: | WA |
| Postal Code: | 98647 |
| Phone Number: | 5032605118 |
| Fax Number: | |
| NPI Enumeration Date: | 06/27/2008 |
| NPI Last Update Date: | 01/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | RC60020400 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |