Jacqueline A Shannon
Jacqueline A Shannon is a Mental Health Counselor in Fort Worth, Texas. Qualified in 2015, 11 years ago. Practices with My Health My Resources of Tarrant County, a 45-clinician group and accepts Medicare assignment. Licensed in Texas.
- Years since qualifying
- 11
- Licensed in
- TX
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
3840 Hulen StFort Worth, TX 76107-7277
Phone: (817) 335-3022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 76758 (TX) |
|---|---|
| School Counselor | Taxonomy 101YS0200X · Licence 76758 (TX) |
Record details
| NPI number | 1730651696 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 17, 2018 |
| Last updated in NPPES | February 8, 2019 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | My Health My Resources Of Tarrant County — 45 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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