MS. SHANNON MOUZON LPC NPI 1780098996

NPI Information

NPI: 1780098996
Provider Name: MS. SHANNON MOUZON, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2505 SE 11TH AVE STE 238
PORTLAND, OR
ZIP 97202
Phone: (646) 696-1289
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MS. Shannon Mouzon, LPC is a mental health counselor in Portland, OR. MS. Shannon Mouzon, LPC NPI is 1780098996. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2505 SE 11TH AVE STE 238
PORTLAND, OR
ZIP 97202-062
Phone: (646) 696-1289

The enumeration date for this NPI number is 6/16/2014 and was last updated on 9/3/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
2	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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