Most Relevant Information
Provider Data
| NPI Number: | 1003055120 |
| Provider Name: | SHANNON HAMILTON |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/12/2009 |
| Last Updated: | 05/19/2021 |
Provider Practice Location
10605 BALBOA BLVD
STE.100
GRANADA HILLS
CA
913446342
Practice Location Phone/Fax
| Phone: | 8188322400 |
| Fax: |
Provider Mailing Location
10605 BALBOA BLVD
STE.100
GRANADA HILLS
CA
913446342
Provider Mailing Phone/Fax
| Phone: | 8188322400 |
| Fax: |