| NPI | 1841310117 |
|---|---|
| Doing Business As | SHANNON K. SPELLMAN |
| Entity Type | Organization |
| Authorized Contact | SHANNON K SPELLMAN Owner Single Member 602-863-3939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC-0101) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-1018) |
| 106H00000X Marriage & Family Therapist (Licence: AZ LMFT-0308) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |