Shannon Gillian Bazelais, LPC
NPI #1427612886 in Darien, Connecticut
Provider Information
- NPI Number
- 1427612886
- Entity Type
- Individual
- Name
- Shannon Gillian Bazelais, LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Apr 30, 2019
- Last Updated
- Apr 30, 2019
Practice Location
- Address
- 30 OLD KINGS HWY S
- City
- Darien
- State
- Connecticut
- ZIP Code
- 06820-4551
- Phone
- (203) 883-0464
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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