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Maxine Elizabeth Shannon, LAC
Mental Health Counselor in Scotch Plains, New Jersey
NPI 1740972694

Maxine Elizabeth Shannon is a Mental Health Counselor based in Scotch Plains, NJ and is specialized in Mental Health. Maxine Elizabeth Shannon practices in Scotch Plains, NJ and has the professional credentials of LAC. The NPI Number for Maxine Elizabeth Shannon is 1740972694 and holds a License No. 37AC00717200 (New Jersey).

The current practice location address for Maxine Elizabeth Shannon is 551 Park Ave Ste 7, Scotch Plains, NJ and can be reached out via phone at 908-322-9623.

Location: 551 Park Ave Ste 7, Scotch Plains, NJ, 07076-1768
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740972694
Provider Name
Maxine Elizabeth Shannon
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
551 Park Ave Ste 7, Scotch Plains, NJ, 07076-1768
Phone Number
908-322-9623
Fax Number
Provider Enumeration Date
05/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
551 Park Ave Ste 7
City
Scotch Plains
State
New Jersey
Zip
07076-1768
Phone Number
908-322-9623
Fax Number
person
Provider Business Mailing Address Details
Address
551 Park Ave Ste 7
City
Scotch Plains
State
New Jersey
Zip
07076-1768
Phone Number
908-322-9623
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
37AC00717200 (New Jersey)
Definition
Definition to come...
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