Shannon Brodala, in Peoria, AZ - Counselor

Shannon Brodala, is a Counselor - Mental Health based in Peoria, Arizona. Shannon Brodala is licensed to practice in Arizona (license number 1457349037) and her current practice location is 8253 W Thunderbird Rd, #103, Peoria, Arizona. She can be reached at her office (for appointments etc.) via phone at (623) 826-0932.

NPI number for Shannon Brodala is 1154339109 and her current mailing address is 8253 W Thunderbird Rd, #103, Peoria, Arizona. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154339109.

Contact Information

	Shannon Brodala,
	8253 W Thunderbird Rd, #103, Peoria, AZ 85381-4616
	(623) 826-0932
	(623) 776-9921

Healthcare Provider's Profile

Full Name	Shannon Brodala
Gender	Female
Speciality	Counselor - Mental Health
Location	8253 W Thunderbird Rd, Peoria, Arizona
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1154339109
Provider Enumeration Date: 08/04/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Shannon Brodala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154339109	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	1457349037 (Arizona)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Brodala is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shannon Brodala, 8253 W Thunderbird Rd, #103, Peoria, AZ 85381-4616 Ph: () -	Shannon Brodala, 8253 W Thunderbird Rd, #103, Peoria, AZ 85381-4616 Ph: (623) 826-0932

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Counselor in Peoria, AZ

Traci Renee Manry, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15396 N 83rd Ave Ste G103, Peoria, AZ 85381 Phone: 925-709-4044 Fax: 925-709-4044
Rheanna Schmidt, LPC Counselor Medicare: Medicare Enrolled Practice Location: 9188 W Davis Rd, Peoria, AZ 85282 Phone: 602-492-5686
Rebecca R Jennings, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14050 N 83rd Ave Ste 290, Peoria, AZ 85381 Phone: 623-276-5385
Mrs. Elisabeth Gayle Davies, MC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9401 W Thunderbird Rd, Suite #183 And Suite #186, Peoria, AZ 85381 Phone: 623-583-2893 Fax: 623-376-9282
Rani R Trent, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13460 N 94th Dr Ste M1, Peoria, AZ 85381 Phone: 623-242-3237
Ronald James Lynch, MC, LPC, LISAC, CSAT Counselor Medicare: Not Enrolled in Medicare Practice Location: 8659 W Lariat Ln, Suite 100, Peoria, AZ 85383 Phone: 623-877-8000 Fax: 623-877-6424
Kerry L. Heath, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20470 N Lake Pleasant Rd Ste 106, Peoria, AZ 85382 Phone: 623-826-7010 Fax: 866-496-7379

Shannon Brodala, - Counselor in Peoria, AZ