Individual provider · Type 1 NPI

Shannon Marie Duperault

Mental Health Counselor · Springfield, MA

NPI number 1447525811 Active

Practice location

367 Pine St
Springfield, MA 01105-1930

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1447525811

Shannon Marie Duperault's National Provider Identifier is 1447525811, issued on Mar 18, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Springfield, MA. The record was last updated on May 8, 2012.