Shannon Alley, LPC
Individual provider Active NPI Professional Counselor · Tempe, AZ
NPI 1982244844 · NPPES record last updated Jan 8, 2020
Key facts
- NPI
- 1982244844
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC14417 (AZ)
- Practice address
- 2120 S McClintock Dr Ste 105
Tempe, AZ 85282-2692 - Phone
- (480) 804-0326
- NPI assigned
- Jan 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC14417 | AZ | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC14417 | AZ | Yes |
Addresses
Primary practice location
2120 S McClintock Dr Ste 105
Tempe, AZ 85282-2692
Mailing address
832 E Scott Ave
Gilbert, AZ 85234-3708
Phone (602) 620-2018
Other providers in Tempe, AZ
- Karen M Allen
- Larry Guy Allen
- Malia Paige Allen
- Tyler James Allen
- Allergy Associates & Asthma, LTD
- Alliance Behavioral Care LLC
- Alliance Surgical, LLC
- Dan Alan Allmond
- Zaina Alomran
- Adam Brett Alperin
All providers in Tempe, AZ · Professional Counselor in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2020. 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.