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Mark Shaughnessy
Peer Specialist in Syracuse, New York
NPI 1720849177

Mark Shaughnessy is a Peer Specialist based in Syracuse, NY. Mark Shaughnessy practices in Syracuse, NY. The NPI Number for Mark Shaughnessy is 1720849177 and holds a License No. (New York).

The current practice location address for Mark Shaughnessy is 215 Wyoming St, Syracuse, NY and can be reached out via phone at 603-557-2111. You can also correspond with Mark Shaughnessy through the mailing address at 215 WYOMING ST, SYRACUSE, NY - 13204-2927 (mailing address contact number: 603-557-2111).

Location: 215 Wyoming St, Syracuse, NY, 13204-2927
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720849177
Provider Name
Mark Shaughnessy
Credential
Provider Entity Type
Individual
Gender
Male
Address
215 Wyoming St, Syracuse, NY, 13204-2927
Phone Number
603-557-2111
Fax Number
Provider Enumeration Date
01/22/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
215 Wyoming St
City
Syracuse
State
New York
Zip
13204-2927
Phone Number
603-557-2111
Fax Number
person
Provider Business Mailing Address Details
Address
215 Wyoming St
City
Syracuse
State
New York
Zip
13204-2927
Phone Number
603-557-2111
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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