Individual provider · Type 1 NPI

Shonda M. Northup

Mental Health Counselor · Danielson, CT

NPI number 1003502097 Active

Practice location

71 Westcott Rd
Danielson, CT 06239-2929

Call (860) 731-5522 Map

Fax (860) 731-5536

Mailing address

2 Waterside Xing Ste 401
Windsor, CT 06095-1588

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1003502097

Shonda M. Northup's National Provider Identifier is 1003502097, issued on Apr 13, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Danielson, CT. The record was last updated on Apr 13, 2023.