person
Jennifer Louise Shannon, MSW,LICSW
Mental Health Counselor in Provincetown, Massachusetts
NPI 1528050812

Jennifer Louise Shannon is a Mental Health Counselor based in Truro, MA and is specialized in Mental Health. Jennifer Louise Shannon practices in Provincetown, MA and has the professional credentials of MSW,LICSW. The NPI Number for Jennifer Louise Shannon is 1528050812 and holds a License No. 107036 (Massachusetts).

The current practice location address for Jennifer Louise Shannon is 30 Conwell St, Provincetown, MA and can be reached out via phone at 508-487-1192 and via fax at 508-487-5813.

Location: 30 Conwell St, Provincetown, MA, 02666-2014
person
Provider Profile Details
NPI Number
1528050812
Provider Name
Jennifer Louise Shannon
Credential
MSW,LICSW
Provider Entity Type
Individual
Gender
Female
Address
30 Conwell St, Provincetown, MA, 02666-2014
Phone Number
508-487-1192
Fax Number
508-487-5813
Provider Enumeration Date
08/22/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
30 Conwell St
City
State
Zip
02657-1548
Phone Number
508-487-1192
Fax Number
508-487-5813
person
Provider Business Mailing Address Details
Address
30 Conwell St
City
State
Zip
02657-1548
Phone Number
508-487-1192
Fax Number
508-487-5813
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
107036 (Massachusetts)
Definition
Definition to come...
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