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Individual
DR. SHANNON SHEEHAN JENNINGS
Active
Individual
DR. SHANNON SHEEHAN JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001654A
IN
101YM0800X
Mental Health Counselor
6401019668
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000383569
ANTHEM
IN
05
—
300048927
—
IN
Enumeration date
10/11/2006
Last updated
12/30/2024
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