Shannon Jane Hendrickson, PMHCNS,BC

NPI #1073649919 in Medford, Massachusetts

Provider Information

NPI Number: 1073649919
Entity Type: Individual
Name: Shannon Jane Hendrickson, PMHCNS,BC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: PMHCNS,BC
Enumeration Date: Feb 26, 2007
Last Updated: Oct 5, 2009

Practice Location

Address: 151 MYSTIC AVE
City: Medford
State: Massachusetts
ZIP Code: 02155-4632
Phone: (781) 396-1199

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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