Provider Demographics
NPI:1669580320
Name:SCHLIEP, SHANNON L (M ED)
Entity type:Individual
Prefix:MRS
First Name:SHANNON
Middle Name:L
Last Name:SCHLIEP
Suffix:
Gender:F
Credentials:M ED
Other - Prefix:
Other - First Name:SHANNON
Other - Middle Name:L
Other - Last Name:HETLETVEDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:4318 W 15TH AVE
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99338-2209
Mailing Address - Country:US
Mailing Address - Phone:509-237-9393
Mailing Address - Fax:
Practice Address - Street 1:100 N HOWARD ST STE W
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-0508
Practice Address - Country:US
Practice Address - Phone:509-731-4875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00007155101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health