| NPI | 1194615336 | 
|---|---|
| Former Name | SHANNON L BARRAGAN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 31007) | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 304733) | 
| Enumeration Date | 2025-07-08 | 
| Last Update Date | 2025-07-08 |