KAITLYN DAWN SHANNON
NPI 1295341865
Counselor - Mental Health in Rock Island, IL

Active since September 19, 2020
2701 17TH ST, ROCK ISLAND, IL 61201(309) 779-2031 Get Directions Write a Review

NPPES record last updated: September 19, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kaitlyn Dawn Shannon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAITLYN DAWN SHANNON (NPI 1295341865) is an individual mental health provider in Rock Island, Illinois and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1295341865
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKAITLYN DAWN SHANNON
Location Address2701 17TH STRock Island, IL 61201-5351
Mailing Address2701 17th StRock Island, IL 61201-5351
Sole ProprietorYes
Enumeration DateSeptember 19, 2020
NPPES CertifiedSeptember 19, 2020
NPI 1295341865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2701 17TH ST, Rock Island, IL 61201

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
2701 17TH ST
ROCK ISLAND, IL 61201
Anesthesiology
2701 17TH ST
ROCK ISLAND, IL 61201
Anesthesiology
2701 17TH ST
ROCK ISLAND, IL 61201
Anesthesiology
2701 17TH ST
ROCK ISLAND, IL 61201
Anesthesiology
2701 17TH ST
ROCK ISLAND, IL 61201
Anesthesiology
2701 17TH ST
ROCK ISLAND, IL 61201
Anesthesiology
2701 17TH ST
ROCK ISLAND, IL 61201
Anesthesiology
2701 17TH ST
ROCK ISLAND, IL 61201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295341865, enumerated as an "individual" on September 19, 2020.

The provider is located at 2701 17TH ST ROCK ISLAND, IL 61201 and the phone number is (309) 779-2031.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.