Provider Demographics
NPI:1609176007
Name:MORELL, SHANNON DEON (LMFT)
Entity type:Individual
Prefix:MRS
First Name:SHANNON
Middle Name:DEON
Last Name:MORELL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 COLLEGE BLVD STE 102-336
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92057-6263
Mailing Address - Country:US
Mailing Address - Phone:760-212-4311
Mailing Address - Fax:
Practice Address - Street 1:420 N EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92058-7868
Practice Address - Country:US
Practice Address - Phone:760-212-4311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-01
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT103953106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist