SHANNON BRODALA
Counselor - Mental Health
Active
Individual
NPI: 1154339109
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | Yes | 1457349037 (AZ) |
Frequently Asked Questions
NPI 1154339109 is the National Provider Identifier for SHANNON BRODALA, a Counselor - Mental Health provider located in Peoria, AZ. This NPI was enumerated on August 4, 2006.
SHANNON BRODALA practices at 8253 W THUNDERBIRD RD, #103, Peoria, AZ 85381.
Quick Facts
- NPI
- 1154339109
- Type
- Individual
- Enumerated
- Aug 4, 2006
- Last Updated
- Jul 8, 2007
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