Provider Demographics
NPI:1124116843
Name:HILFER, SHANNON L (LPCC)
Entity type:Individual
Prefix:
First Name:SHANNON
Middle Name:L
Last Name:HILFER
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1303 E CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501-2066
Mailing Address - Country:US
Mailing Address - Phone:701-323-5626
Mailing Address - Fax:701-255-4495
Practice Address - Street 1:1303 E CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501-2066
Practice Address - Country:US
Practice Address - Phone:701-323-5626
Practice Address - Fax:701-255-4495
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND442-4-1-00-159101Y00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor