| Doctor Name: | SHANNON MCNABB |
| NPI Number: | 1689063000 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | SWP-LCPC-LIC-8346 |
| Business Practice Address: | 4520 Creekside Dr Haltom City, TX - 761372632 |
| Business Phone Number: | 4062496437 |
| Business Fax Number: | |
| Mailing Address: | 4520 Creekside Dr, HALTOM CITY |
| State: | TX |
| Postal Code: | 761372632 |
| Phone Number: | 4062496437 |
| Fax Number: | |
| NPI Enumeration Date: | 01/22/2015 |
| NPI Last Update Date: | 02/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | SWP-LCPC-LIC-8346 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MT |
| 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 |