Individual
SHANNON NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
162 MEADOW BROOK RD, OXFORD, CT 06478-4902
(203) 527-2066
Mailing address
103 BURNT PLAINS RD, MILFORD, CT 06461-2150
(203) 232-8811
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5124
CT
Other
Enumeration date
10/01/2021
Last updated
07/25/2024
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