Individual
DR. SHANNON SHEEHAN JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1170 GREENFIELD AVE, NILES, MI 49120-3926
(574) 532-3178
Mailing address
PO BOX 256, NILES, MI 49120-0256
(574) 532-3178
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001654A
IN
101YM0800X
Mental Health Counselor
6401019668
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000383569
ANTHEM
IN
05
—
300048927
—
IN
Enumeration date
10/11/2006
Last updated
12/30/2024
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