Shannon Lynne Hirase

Individual provider Active NPI School Counselor · Nipomo, CA

NPI 1083409379 · NPPES record last updated Apr 9, 2025

Key facts

NPI
1083409379
Entity type
Individual (NPI type 1)
Primary specialty
School Counselor 101YS0200X
Practice address
525 N Thompson Ave
Nipomo, CA 93444-9086
Phone
(805) 474-3300
NPI assigned
Apr 9, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X CA Yes

Addresses

Primary practice location

525 N Thompson Ave
Nipomo, CA 93444-9086

Mailing address

525 N Thompson Ave
Nipomo, CA 93444-9086
Phone (805) 474-3300

Other names

  • Shannon Lynne Rangel Former name

Other providers in Nipomo, CA

All providers in Nipomo, CA · School Counselor in California

Sources for this page

Verify at the official NPI Registry.