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Shannon Tierney
Mental Health Counselor in Coram, New York
NPI 1053933085

Shannon Tierney is a Mental Health Counselor based in Flushing, NY and is specialized in Mental Health. Shannon Tierney practices in Coram, NY. The NPI Number for Shannon Tierney is 1053933085 and holds a License No. 010033-01 (New York).

The current practice location address for Shannon Tierney is 3600 Route 112, Coram, NY and can be reached out via phone at 631-920-8610.

Location: 3600 Route 112, Coram, NY, 11351-3000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053933085
Provider Name
Shannon Tierney
Credential
Provider Entity Type
Individual
Gender
Female
Address
3600 Route 112, Coram, NY, 11351-3000
Phone Number
631-920-8610
Fax Number
Provider Enumeration Date
05/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3600 Route 112
City
Coram
State
New York
Zip
11727-4116
Phone Number
631-920-8610
Fax Number
person
Provider Business Mailing Address Details
Address
3600 Route 112
City
Coram
State
New York
Zip
11727-4116
Phone Number
631-920-8610
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
010033-01 (New York)
Definition
Definition to come...
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