Individual
SHANNON THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
966 S MAIN ST, PLANTSVILLE, CT 06479-1645
(860) 863-1001
Mailing address
16A JOHNSON AVE, PLAINVILLE, CT 06062-1116
(203) 578-5978
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6326
CT
101YS0200X
School Counselor
C032022002260
CT
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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