Shannon Laura Amesbury
Individual provider Active NPI Mental Health Counselor · Ashland, OR
NPI 1497477152 · NPPES record last updated Sep 19, 2022
Key facts
- NPI
- 1497477152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 1836 Fremont St
Ashland, OR 97520-2537 - Phone
- (541) 482-5792
- NPI assigned
- Sep 19, 2022
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
1836 Fremont St
Ashland, OR 97520-2537
Mailing address
71 S Mountain Ave
Ashland, OR 97520-2468
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- Ancillary Resources
- Carrie Mae Anderson
All providers in Ashland, OR · Mental Health Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.