| NPI | 1619644929 |
|---|---|
| Former Legal Business Name | PATRICK SHANNON, LCSW |
| Doing Business As | PATRICK SHANNON, LCSW, PLLC |
| Entity Type | Organization |
| Authorized Contact | PATRICK SHANNON Therapist/Owner 406-763-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2021-12-29 |