Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON JANE HENDRICKSON, PMHCNS,BC
Active Sole ProprietorSHANNON JANE HENDRICKSON, PMHCNS,BC is a Counselor healthcare provider located in MEDFORD, Massachusetts. NPI 1073649919 is currently active in the NPPES registry. Verify at CMS.
Counselor · MEDFORD, MA
Registration Details
- NPI Number
- 1073649919
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 26, 2007 (19.429353793069 yrs)
- Last Updated
- Oct 5, 2009
- License
-
110897 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
151 MYSTIC AVEMEDFORD, MA, 021554632Browse MA providers · Browse ZIP 02155
- Phone
- 7813961199
- Fax
- 7813961439
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in MEDFORD, MA
| Name | Credential | NPI |
|---|---|---|
| MS. SOCORRO CHING | — | 1003097759 |
| HELAINE BLOMBERG | MHC | 1396914578 |
| CHRISTINE E PORTAL | MHC | 1205074937 |
| SUSAN GOELLER | MA | 1548590722 |
| TERESA NEEDHAM | MA | 1932439114 |
| WILLIAM EDWARD WARD JR. | — | 1265743256 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.