| Doctor Name: | MS. SHANNON LEE CROSSLER |
| NPI Number: | 1700091006 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | 907 |
| Business Practice Address: | Rr 1 Box 664 Box Elder, MT - 595219797 |
| Business Phone Number: | 4063954486 |
| Business Fax Number: | |
| Mailing Address: | 795 40th Ave W, HAVRE |
| State: | MT |
| Postal Code: | 595016809 |
| Phone Number: | 4062658881 |
| Fax Number: | |
| NPI Enumeration Date: | 05/11/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 907 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |