Individual
SHANNON SHADMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSMHC, M.ED
Contact information
Practice address
6102 HAMILTON WAY, EASTAMPTON TOWNSHIP, NJ 08060-1673
(484) 515-6125
Mailing address
436 CORNELL AVE, PEMBERTON, NJ 08068-1712
(484) 515-6125
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
37AC00286600
NJ
101YP2500X
Professional Counselor
Primary
37PC00591200
—
Other
Enumeration date
02/18/2016
Last updated
12/08/2022
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