Individual
MRS. JENNIFER LYNN SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, LPC, CRC
Contact information
Practice address
569 MAIN ST, WARREN, RI 02885-4356
(401) 903-0324
Mailing address
20 HEARTHSTONE DR, HEBRON, CT 06248-1202
(401) 903-0324
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC01054
RI
101YP2500X
Professional Counselor
006960
CT
225C00000X
Rehabilitation Counselor
00233417
—
Other
Enumeration date
05/24/2016
Last updated
04/10/2025
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