person
Shannon Mcneilly
Addiction (Substance Use Disorder) Counselor in Southbridge, Massachusetts
NPI 1558704916

Shannon Mcneilly is an Addiction (Substance Use Disorder) Counselor based in Southbridge, MA and is specialized in Addiction (Substance Use Disorder). Shannon Mcneilly practices in Southbridge, MA. The NPI Number for Shannon Mcneilly is 1558704916 and holds a License No. (Massachusetts).

The current practice location address for Shannon Mcneilly is 176 Main St, Southbridge, MA and can be reached out via phone at 508-765-5940 and via fax at 508-753-5051.

Location: 176 Main St, Southbridge, MA, 01550-2561
person
Provider Profile Details
NPI Number
1558704916
Provider Name
Shannon Mcneilly
Credential
Provider Entity Type
Individual
Gender
Female
Address
176 Main St, Southbridge, MA, 01550-2561
Phone Number
508-765-5940
Fax Number
508-753-5051
Provider Enumeration Date
04/16/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1308785 05 MA
M18684 01 MA BLUE CROSS BLUE SHEILD
1306421 05 MA
22220002001 01 MA BLUE CROSS BLUE SHEILD
institution
Provider Business Practice Location Address Details
Address
176 Main St
City
State
Zip
01550-2561
Phone Number
508-765-5940
Fax Number
508-753-5051
person
Provider Business Mailing Address Details
Address
176 Main St
City
State
Zip
01550-2561
Phone Number
508-765-5940
Fax Number
508-753-5051
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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