Individual
SHANNON L. YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2 POMPERAUG OFFICE PARK, SUITE 206A, SOUTHBURY, CT 06488-2288
(203) 417-1908
(203) 791-9094
Mailing address
2 POMPERAUG OFFICE PARK, SUITE 206A, SOUTHBURY, CT 06488-2288
(203) 417-1908
(203) 791-9094
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000748
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004187614
—
CT
Enumeration date
10/15/2006
Last updated
06/08/2015
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