JEREMY SHANNON

PHOENIX, AZ
NPI1790657070
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AZ  LAC-22770)
Enumeration Date2025-09-18
Last Update Date2025-09-18
Business Address
JEREMY SHANNON
149 W HELENA DR
PHOENIX, AZ 85023-6558
Phone number: 425-736-2327
Mailing Address
JEREMY SHANNON
149 W HELENA DR
PHOENIX, AZ 85023-6558
Phone number: 425-736-2327