CARLY BLAKE SHANNON

AUSTIN, TX
NPI1407001258
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: TX  62456)
Enumeration Date2008-11-20
Last Update Date2008-11-20
Business Address
Ms. CARLY BLAKE SHANNON LPC
1433 FAIRFIELD DR
AUSTIN, TX 78758-7244
Phone number: 512-491-8444
Mailing Address
Ms. CARLY BLAKE SHANNON LPC
1433 FAIRFIELD DR
AUSTIN, TX 78758-7244
Phone number: 512-491-8444
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