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

Individual provider Counselor · NPI 1003746801

Shannon Hallstrom, LPC is a Counselor in Mesa, Arizona. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2026
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

9025 E Vine Ave
Mesa, AZ 85208-2346
Phone: (480) 380-3868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 1281717 (ID)

Record details

NPI number1003746801
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedMay 22, 2026
Last updated in NPPESMay 22, 2026
Certification dateMay 22, 2026
Mailing address9025 E Vine Ave, Mesa, AZ 85208-2346

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