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Tierra Celese Shannon
Counselor in Meriden, Connecticut
NPI 1891487054

Tierra Celese Shannon is a Counselor based in Meriden, CT. Tierra Celese Shannon practices in Meriden, CT. The NPI Number for Tierra Celese Shannon is 1891487054 and holds a License No. (Connecticut).

The current practice location address for Tierra Celese Shannon is 130 Research Pkwy, Meriden, CT and can be reached out via phone at 203-235-1654.

Location: 130 Research Pkwy, Meriden, CT, 06450-7152
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891487054
Provider Name
Tierra Celese Shannon
Credential
Provider Entity Type
Individual
Gender
Female
Address
130 Research Pkwy, Meriden, CT, 06450-7152
Phone Number
203-235-1654
Fax Number
Provider Enumeration Date
05/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
130 Research Pkwy
City
Meriden
State
Connecticut
Zip
06450-7152
Phone Number
203-235-1654
Fax Number
person
Provider Business Mailing Address Details
Address
130 Research Pkwy
City
Meriden
State
Connecticut
Zip
06450-7152
Phone Number
203-235-1654
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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