Shannon Theobald, LPC
NPI #1669146205 in Parsippany, New Jersey
Provider Information
- NPI Number
- 1669146205
- Entity Type
- Individual
- Name
- Shannon Theobald, LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Aug 6, 2021
- Last Updated
- Oct 18, 2022
Practice Location
- Address
- 181 NEW RD STE 304
- City
- Parsippany
- State
- New Jersey
- ZIP Code
- 07054-5625
- Phone
- (201) 389-9308
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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