Most Relevant Information
Provider Data
| NPI Number: | 1003461575 |
| Provider Name: | SHANNON MCKINNON MA |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/01/2019 |
| Last Updated: | 08/01/2019 |
Provider Practice Location
1355 S HILL ST
LOS ANGELES
CA
900153012
Practice Location Phone/Fax
| Phone: | 2133895820 |
| Fax: |
Provider Mailing Location
2141 N COMMONWEALTH AVE
LOS ANGELES
CA
900272145
Provider Mailing Phone/Fax
| Phone: | 7279006667 |
| Fax: |