Shana Susanne Mevissen

NPI #1245870443 in Wilton, New York

Provider Information

NPI Number
1245870443
Entity Type
Individual
Name
Shana Susanne Mevissen
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Enumeration Date
Jan 15, 2020
Last Updated
Jan 15, 2020

Practice Location

Address
3 AMHURST AVE # 3
City
Wilton
ZIP Code
12831-1834
Phone
(517) 778-5881

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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