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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANNON THEOBALD

Active

SHANNON THEOBALD is a School Counselor healthcare provider located in ELIZABETH, Colorado. NPI 1134963440 is currently active in the NPPES registry. Verify at CMS.

School Counselor · ELIZABETH, CO

Registration Details

NPI Number
1134963440
Provider Type
Individual
Gender
Female
NPI Issued
Jun 21, 2024 (2.1573019901448 yrs)
Last Updated
Jun 21, 2024

Practice Information

Address
795 E KIOWA AVE UNIT 1471
ELIZABETH, CO, 801075060
Browse CO providers · Browse ZIP 80107
Phone
7204289809
Primary Specialty
School Counselor
101YS0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.