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Shannon Jane Hendrickson, PMHCNS,BC
Counselor in Medford, Massachusetts
NPI 1073649919

Shannon Jane Hendrickson is a Counselor based in Medford, MA. Shannon Jane Hendrickson practices in Medford, MA and has the professional credentials of PMHCNS,BC. The NPI Number for Shannon Jane Hendrickson is 1073649919 and holds a License No. 110897 (Massachusetts).

The current practice location address for Shannon Jane Hendrickson is 151 Mystic Ave, Medford, MA and can be reached out via phone at 781-396-1199 and via fax at 781-396-1439. You can also correspond with Shannon Jane Hendrickson through the mailing address at 151 MYSTIC AVE, MEDFORD, MA - 02155-4632 (mailing address contact number: 781-396-1199).

Location: 151 Mystic Ave, Medford, MA, 02155-4632
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073649919
Provider Name
Shannon Jane Hendrickson
Credential
PMHCNS,BC
Provider Entity Type
Individual
Gender
Female
Address
151 Mystic Ave, Medford, MA, 02155-4632
Phone Number
781-396-1199
Fax Number
781-396-1439
Provider Enumeration Date
02/26/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
151 Mystic Ave
City
Medford
State
Massachusetts
Zip
02155-4632
Phone Number
781-396-1199
Fax Number
781-396-1439
person
Provider Business Mailing Address Details
Address
151 Mystic Ave
City
Medford
State
Massachusetts
Zip
02155-4632
Phone Number
781-396-1199
Fax Number
781-396-1439
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
110897 (Massachusetts)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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