DR. SHANNON KETTNER, PHD, LSCSW
Social Worker - Clinical
Active
Individual
NPI: 1609933449
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 1075 (KS) |
Frequently Asked Questions
NPI 1609933449 is the National Provider Identifier for DR. SHANNON KETTNER, PHD, LSCSW, a Social Worker - Clinical provider located in Colorado Springs, CO. This NPI was enumerated on January 2, 2007.
DR. SHANNON KETTNER, PHD, LSCSW practices at 3141 CENTENNIAL BLVD, Colorado Springs, CO 80907.
Quick Facts
- NPI
- 1609933449
- Type
- Individual
- Enumerated
- Jan 2, 2007
- Last Updated
- Nov 17, 2015
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