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Shanealia Carmen Jernigan
Mental Health Counselor in Easthampton, Massachusetts
NPI 1467971259

Shanealia Carmen Jernigan is a Mental Health Counselor based in Easthampton, MA and is specialized in Mental Health. Shanealia Carmen Jernigan practices in Easthampton, MA. The NPI Number for Shanealia Carmen Jernigan is 1467971259 and holds a License No. (Massachusetts).

The current practice location address for Shanealia Carmen Jernigan is 203 East St, Easthampton, MA and can be reached out via phone at 413-529-7777.

Location: 203 East St, Easthampton, MA, 01027-1234
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467971259
Provider Name
Shanealia Carmen Jernigan
Credential
Provider Entity Type
Individual
Gender
Female
Address
203 East St, Easthampton, MA, 01027-1234
Phone Number
413-529-7777
Fax Number
Provider Enumeration Date
09/13/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
042680339 05 MA
institution
Provider Business Practice Location Address Details
Address
203 East St
City
Easthampton
State
Massachusetts
Zip
01027-1234
Phone Number
413-529-7777
Fax Number
person
Provider Business Mailing Address Details
Address
203 East St
City
Easthampton
State
Massachusetts
Zip
01027-1234
Phone Number
413-529-7777
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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