Individual provider · Type 1 NPI

Mary Kinsella-Shaw, MA, LPC

Professional Counselor · Mansfield Center, CT

NPI number 1639409360 Active

Practice location

189 Storrs Rd
Mansfield Center, CT 06250-1683

Call (860) 456-1311 Map

Fax (860) 456-0164

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X000168 (CT)

Professional Counselor: Definition to come...

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About NPI 1639409360

Mary Kinsella-Shaw, MA, LPC's National Provider Identifier is 1639409360, issued on Dec 31, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mansfield Center, CT. The record was last updated on Dec 31, 2009.