SHANNON CARBALLO

WILLIAMSON, WV
NPI1083025050
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2014-05-13
Last Update Date2016-10-31
Business Address
-- SHANNON CARBALLO
105 W 4TH AVE
WILLIAMSON, WV 25661-3111
Phone number: 304-236-3517
Mailing Address
-- SHANNON CARBALLO
105 W 4TH AVE
WILLIAMSON, WV 25661-3111
Phone number: 304-236-3517