Female

Shannon Brunson LMHC

Mental Health Counselor in Niceville, FL(View on Map)

Full Name

Shannon Brunson LMHC

NPI Number

1558479089

NPI Type

Individual Provider

Gender

Female

Enumeration Date

08/25/2006

Specialties

(Taxonomies)

Code

101YM0800X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

MH4811

Contact
Information

Purpose

Mailing
Location

Address

188 LODGE RD
4591 FL-20

City

Freeport
Niceville

State

FL
FL

Postal Code

32439-2212
32578

Country

US
US

Telephone Number

(850) 333-6283
(850) 899-2233

Identifiers

Identifier

765950900

Identifier State

FL

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/25/2024

Provider Address

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