COLTON SHANNON

JACKSON, TN
NPI1104474600
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: TN  4374)
Enumeration Date2019-08-28
Last Update Date2019-08-28
Business Address
Mr. COLTON SHANNON LPC-MHSP
708 N HIGHLAND AVE
JACKSON, TN 38301-4829
Phone number: 731-277-7778
Mailing Address
Mr. COLTON SHANNON LPC-MHSP
708 N HIGHLAND AVE
JACKSON, TN 38301-4829
Phone number: 731-277-7778
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