Individual
MR. JAMES PATRICK SHAUGHNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
335 WESTSIDE STATION DR, WINCHESTER, VA 22601-2840
(540) 662-7555
(540) 662-9105
Mailing address
335 WESTSIDE STATION DR, WINCHESTER, VA 22601-2840
(540) 662-7555
(540) 662-9105
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002564
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290001
ANTHEM PROVIDER NUMBER
VA
Enumeration date
08/12/2006
Last updated
07/08/2007
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