Doctor Name: | MRS. SHANNON MARTIN CONEY |
NPI Number: | 1700125465 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCA AND LCAS |
License Number: | 3197 |
Business Practice Address: | 247 Patton Hill Rd Swannanoa, NC - 287782407 |
Business Phone Number: | 8282434200 |
Business Fax Number: | |
Mailing Address: | 247 Patton Hill Rd, SWANNANOA |
State: | NC |
Postal Code: | 287782407 |
Phone Number: | 8282434200 |
Fax Number: | |
NPI Enumeration Date: | 01/31/2013 |
NPI Last Update Date: | 01/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 3197 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |