person
Amelia D Shannon, LPC
Mental Health Counselor in New Haven, Connecticut
NPI 1700353455

Amelia D Shannon is a Mental Health Counselor based in New Haven, CT and is specialized in Mental Health. Amelia D Shannon practices in New Haven, CT and has the professional credentials of LPC. The NPI Number for Amelia D Shannon is 1700353455 and holds a License No. 3602 (Connecticut).

The current practice location address for Amelia D Shannon is 239 Columbus Ave, New Haven, CT and can be reached out via phone at 203-910-0548.

Location: 239 Columbus Ave, New Haven, CT, 06519
person
Provider Profile Details
NPI Number
1700353455
Provider Name
Amelia D Shannon
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
239 Columbus Ave, New Haven, CT, 06519
Phone Number
203-910-0548
Fax Number
Provider Enumeration Date
10/31/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3602 05 CT
institution
Provider Business Practice Location Address Details
Address
239 Columbus Ave
City
State
Zip
06519-2230
Phone Number
203-910-0548
Fax Number
person
Provider Business Mailing Address Details
Address
239 Columbus Ave
City
State
Zip
06519-2230
Phone Number
203-910-0548
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
3602 (Connecticut)
Definition
Definition to come...
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