Tierra Celese Shannon
NPI #1891487054 in Meriden, Connecticut
Provider Information
- NPI Number
- 1891487054
- Entity Type
- Individual
- Name
- Tierra Celese Shannon
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- May 24, 2023
- Last Updated
- May 24, 2023
Practice Location
- Address
- 130 RESEARCH PKWY
- City
- Meriden
- State
- Connecticut
- ZIP Code
- 06450-7152
- Phone
- (203) 235-1654
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Counselor |
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