Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER LOUISE SHANNON, MSW, LICSW
ActiveJENNIFER LOUISE SHANNON, MSW, LICSW is a Mental Health Counselor healthcare provider located in PROVINCETOWN, Massachusetts. NPI 1528050812 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · PROVINCETOWN, MA
Registration Details
- NPI Number
- 1528050812
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 22, 2005 (20.957190360969 yrs)
- Last Updated
- Jul 8, 2007
- License
-
107036 (MA)
Practice Information
- Address
-
30 CONWELL ST#1PROVINCETOWN, MA, 026571548Browse MA providers · Browse ZIP 02657
- Phone
- 5084871192
- Fax
- 5084875813
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in PROVINCETOWN, MA
| Name | Credential | NPI |
|---|---|---|
| HARVEY TAYLOR WILSON | LICSW | 1104307412 |
| CHELSEA CROWE | LMHC | 1497342638 |
| TERESA LYNN NEZBETH | — | 1871304659 |
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.