Individual provider · Type 1 NPI

Shannon J. Davidenko, LMHC

Mental Health Counselor · Northborough, MA

NPI number 1386892271 Active

Practice location

44 Bearfoot Rd Ste 300
Northborough, MA 01532-1559

Fax (781) 551-3396

Mailing address

89 Access Rd Ste 24
Norwood, MA 02062-5233

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X8189 (MA)

Mental Health Counselor: Definition to come...

8 other providers at this address

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About NPI 1386892271

Shannon J. Davidenko, LMHC's National Provider Identifier is 1386892271, issued on Sep 4, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Northborough, MA. The record was last updated on Dec 17, 2018.