Provider Demographics
NPI:1447680186
Name:WOOLF, SHANNON MARIE (LCPC)
Entity type:Individual
Prefix:MRS
First Name:SHANNON
Middle Name:MARIE
Last Name:WOOLF
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 N 30TH ST
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-0913
Mailing Address - Country:US
Mailing Address - Phone:406-259-8800
Mailing Address - Fax:406-259-4400
Practice Address - Street 1:704 N 30TH ST
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-0913
Practice Address - Country:US
Practice Address - Phone:406-259-8800
Practice Address - Fax:406-259-4400
Is Sole Proprietor?:No
Enumeration Date:2013-11-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health