Shannon Nichole Modjeski
Shannon Nichole Modjeski is a Counselor in Medford, Oregon. Licensed in Arizona. Registered with an NPI since 2012.
- Licensed in
- AZ
- In the registry since
- 2012
Practice location Address checks out
816 W 10th StMedford, OR 97501-3016
Phone: (541) 734-5437
Fax: (541) 734-2425
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X · Licence LAC14009 (AZ) |
|---|
Record details
| NPI number | 1265786396 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 26, 2012 |
| Last updated in NPPES | June 1, 2016 |
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