Individual provider · Type 1 NPI

Shannon Smith

Counselor · Medford, MA

NPI number 1184502312 Active

Practice location

42 High St
Medford, MA 02155-3863

Call (781) 395-0828 Map

Mailing address

15 N Beacon St Apt 215
Allston, MA 02134-1937

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1184502312

Shannon Smith's National Provider Identifier is 1184502312, issued on Aug 25, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Medford, MA. The record was last updated on Aug 25, 2025.