Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Shannon Lance Beaudoin, MA

Individual provider Marriage & Family Therapist · NPI 1518394170

Mr. Shannon Lance Beaudoin, MA is a Marriage & Family Therapist in Santa Rosa, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

2227 Capricorn Way Ste 207
Santa Rosa, CA 95407-5486
Phone: (707) 565-5053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence LMFT34176 (CA)
Marriage & Family Therapist Taxonomy 106H00000X · Licence MFC34176 (CA)

Record details

NPI number1518394170
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorNo
NPI enumeratedSeptember 27, 2013
Last updated in NPPESMarch 11, 2021
Certification dateMarch 11, 2021

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