SHANNON L BUPP

AUSTIN, TX
NPI1528894755
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  LCDC-68127)
Enumeration Date2024-09-12
Last Update Date2024-09-12
Business Address
SHANNON L BUPP LCDC
305 FERGUSON DR
AUSTIN, TX 78753-3006
Phone number: 512-339-9757
Mailing Address
SHANNON L BUPP LCDC
8444 N 90TH ST STE 100
SCOTTSDALE, AZ 85258-4437
Phone number: 602-248-8886