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

Shannon Marie Broussard-Bueno, LAC

Individual provider Mental Health Counselor · NPI 1386430692

Shannon Marie Broussard-Bueno, LAC is a Mental Health Counselor in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2025
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

5441 S Macadam Ave Ste 4561
Portland, OR 97239-6106
Phone: (337) 717-0401
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence R10988 (OR)

Record details

NPI number1386430692
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC
Sole proprietorYes
NPI enumeratedApril 15, 2025
Last updated in NPPESMay 19, 2025
Certification dateMay 19, 2025

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