Kristen Shannon

NPI #1922451434 in Waltham, Massachusetts

Provider Information

NPI Number: 1922451434
Entity Type: Individual
Name: Kristen Shannon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jul 20, 2016
Last Updated: Jul 20, 2016

Practice Location

Address: 210 BEAR HILL RD
Address 2: SUITE 203
City: Waltham
State: Massachusetts
ZIP Code: 02451-1025
Phone: (781) 290-4970

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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