Individual
CEARA SHAUGHNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 KENNEDY ST, BURLINGTON, KS 66839-1120
(620) 364-2606
Mailing address
1319 GARFIELD ST, EMPORIA, KS 66801-5605
(785) 393-8355
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
339
KS
101YM0800X
Mental Health Counselor
2595
KS
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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