Individual provider · Type 1 NPI
Shana Susanne Mevissen
Mental Health Counselor · Wilton, NY
NPI number
1245870443
Active
Practice location
3 Amhurst Ave # 3
Wilton, NY 12831-1834
Mailing address
713 Troy Schenectady Rd Ste 224
Latham, NY 12110-2490
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
About NPI 1245870443
Shana Susanne Mevissen's National Provider Identifier is 1245870443, issued on Jan 15, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wilton, NY. The record was last updated on Jan 15, 2020.