Individual
SHANNON KATHERINE ROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
325 S MAIN ST STE 3, CHESHIRE, CT 06410-3159
(203) 651-8647
Mailing address
325 S MAIN ST STE 3, CHESHIRE, CT 06410-3159
(203) 651-8647
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2035
CT
Other
Enumeration date
03/26/2019
Last updated
07/05/2024
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