Provider Demographics
NPI:1528299609
Name:HARRINGTON, SHANNON LEE (BA, MA MFT)
Entity type:Individual
Prefix:
First Name:SHANNON
Middle Name:LEE
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:BA, MA MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2OO1 RAMROD AVENUE
Mailing Address - Street 2:APARTMENT #1828
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014
Mailing Address - Country:US
Mailing Address - Phone:702-433-6611
Mailing Address - Fax:
Practice Address - Street 1:2OO1 RAMROD AVENUE
Practice Address - Street 2:APARTMENT #1828
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014
Practice Address - Country:US
Practice Address - Phone:702-433-6611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist