Individual
NANCY SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, LMFT
Contact information
Practice address
16 WATERHOUSE RD, SUITE 3, BOURNE, MA 02532-3897
(781) 585-8348
Mailing address
97 OAK NECK RD, HYANNIS, MA 02601-4552
(781) 585-8348
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3442
—
106H00000X
Marriage & Family Therapist
Primary
903
—
Other
Enumeration date
02/13/2007
Last updated
11/02/2015
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