SHANNON WALKER-SHANNON
NPI 1912180118
Counselor - Mental Health in Vicksburg, MS
Active since December 11, 2007
About Shannon Walker-shannon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON WALKER-SHANNON (NPI 1912180118) is an individual mental health provider in Vicksburg, Mississippi and active in the NPI registry since December 2007.
NPPES Registry Identity
NPI1912180118
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANNON WALKER-SHANNON
Location Address3444 WISCONSIN AVEVicksburg, MS 39180-5331
Mailing Address3444 Wisconsin AveVicksburg, MS 39180-5331 · (601) 638-0031 · Fax (601) 638-4950
Phone(601) 638-0031
Fax(601) 638-4950
Sole ProprietorNo
Enumeration DateDecember 11, 2007
✔ NPI 1912180118 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3444 WISCONSIN AVE, Vicksburg, MS 39180
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912180118, enumerated as an "individual" on December 11, 2007.
The provider is located at 3444 WISCONSIN AVE VICKSBURG, MS 39180 and the phone number is (601) 638-0031.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.