Doctor Name: | SHANNON RENEE MAY |
NPI Number: | 1487818043 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 0701003727 |
Business Practice Address: | 409 E Main St Ste A Radford, VA - 241411983 |
Business Phone Number: | 5407310360 |
Business Fax Number: | 5407310362 |
Mailing Address: | 409 E Main St Ste A, RADFORD |
State: | VA |
Postal Code: | 241411983 |
Phone Number: | 5407310360 |
Fax Number: | 5407310362 |
NPI Enumeration Date: | 07/14/2008 |
NPI Last Update Date: | 07/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 0701003727 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |