Individual
ERIN SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 LOIS ST, NORWALK, CT 06851-4404
(203) 221-8860
Mailing address
10 HAVILAND ST APT B, NORWALK, CT 06854-3065
(203) 520-4643
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1918
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1918
CONNECTICUT DEPARTMENT OF HEALTH
CT
Enumeration date
07/20/2017
Last updated
07/20/2017
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