Individual
SHANNON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
99 HUCKLEBERRY CT, THREE BRIDGES, NJ 08887-2109
(908) 994-2223
Mailing address
10 NEWPORT CT, PARSIPPANY, NJ 07054-3944
(609) 906-3010
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00417900
NJ
Other
Enumeration date
11/08/2020
Last updated
11/08/2020
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