Dr. Joshua E. Shannon PHD, LMHC, CRC, CEAP
Mental Health Counselor in Tampa, FL(View on Map)
Full Name
Dr. Joshua Elliott Shannon PHD, LMHC, CRC, CEAP
NPI Number
1518261973
NPI Type
Individual Provider
Gender
Male
Enumeration Date
12/28/2010
Specialties
(Taxonomies)Code
101YM0800X
101Y00000X
101YP2500X
Primary Taxonomy
Yes
No
No
Licenses
State
Florida
License Number
IMH8185
Contact
Information
Purpose
Mailing
Location
Address
2909 W BAY TO BAY BLVD STE 210
2909 W BAY TO BAY BLVD STE 210
City
Tampa
Tampa
State
FL
FL
Postal Code
33629-8100
33629-8100
Country
US
US
Telephone Number
(877) 957-3422
(877) 957-3422
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/10/2020