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

SHANNON BRODALA

Active Sole Proprietor

SHANNON BRODALA is a Mental Health Counselor healthcare provider located in PEORIA, Arizona. NPI 1154339109 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · PEORIA, AZ

Registration Details

NPI Number
1154339109
Provider Type
Individual
Gender
Female
NPI Issued
Aug 4, 2006 (19.993123476125 yrs)
Last Updated
Jul 8, 2007
License
1457349037 (AZ)
Sole Proprietor
Yes

Practice Information

Address
8253 W THUNDERBIRD RD
#103
PEORIA, AZ, 853814616
Browse AZ providers · Browse ZIP 85381
Phone
6238260932
Fax
6237769921
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in PEORIA, AZ

Name Credential NPI
MS. LESLIE J GRAHAM LCSW 1366439887
MRS. C AIMEE MORRISON-STENSRUD LPC 1427167014
MRS. ELISABETH GAYLE DAVIES MC 1023103488
MS. KRISTA SOSTE LPC10946 1700955036
MISS BARBARA ANN LEE MA 1417017237
CINDY L BOCK MA, LMHC, NCC 1518013119
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.