Provider Demographics
NPI:1285223586
Name:CALLIHAN, SHAWNEAN SERRANO (LPC,NCC)
Entity Type:Individual
Prefix:MRS
First Name:SHAWNEAN
Middle Name:SERRANO
Last Name:CALLIHAN
Suffix:
Gender:F
Credentials:LPC,NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2447 SALEM RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63144-2508
Mailing Address - Country:US
Mailing Address - Phone:314-952-5840
Mailing Address - Fax:
Practice Address - Street 1:2447 SALEM RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63144-2508
Practice Address - Country:US
Practice Address - Phone:314-952-5840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-12
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000145138101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional