Shannon Buckley, MA, LAC
Counselor, Mental Health in Sewell, New Jersey
1316445745- Practice location
- 342 Egg Harbor RD Ste B, Sewell, NJ 08080-1856
- Phone
- 856-589-3420
- Fax
- —
- Last updated
- January 31, 2018
Shannon Buckley is a Counselor, Mental Health based in Sewell, NJ. Shannon Buckley practices in Sewell, NJ and has the professional credentials of MA, LAC. The NPI Number for Shannon Buckley is 1316445745 and holds a License No. 37AC00385300 (NJ). The current practice location address for Shannon Buckley is 342 Egg Harbor RD Ste B, Sewell, NJ 08080-1856 and can be reached out via phone at 856-589-3420.
Provider Profile Details
- NPI Number
- 1316445745
- Provider Name
- Shannon Buckley
- Credential
- MA, LAC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 342 Egg Harbor RD Ste B, Sewell, NJ 08080-1856
- Phone Number
- 856-589-3420
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 31, 2018
- Last Update Date
- January 31, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 342 Egg Harbor RD Ste B
Sewell, NJ 08080-1856 - City
- Sewell
- State
- New Jersey
- Zip
- 08080-1856
- Phone Number
- 856-589-3420
Provider Business Mailing Address Details
- Address
- 9 W Burlington St
Bordentown, NJ 08505-1722 - City
- Bordentown
- State
- NJ
- Zip
- 08505-1722
- Phone Number
- 609-752-1518
License Information
- License Number
- 37AC00385300
- License State
- NJ
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Shannon Buckley, MA, LAC?
The NPI number of Shannon Buckley, MA, LAC is 1316445745. It was assigned on January 31, 2018 and is currently active in the NPPES registry.
What is the specialty of Shannon Buckley, MA, LAC?
Shannon Buckley, MA, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00385300.
Where does Shannon Buckley, MA, LAC practice?
The practice location is 342 Egg Harbor RD Ste B, Sewell, NJ 08080-1856. The office can be reached at 856-589-3420 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316445745 directly on the NPPES registry website.