Individual provider · Type 1 NPI

Kathleen Shaughnessy

Mental Health Counselor · Orange, NJ

NPI number 1669002796 Active

Practice location

395 S Center St
Orange, NJ 07050-3205

Call (862) 253-4422 Map

Mailing address

26 Beaumont Pl Apt 3H
Newark, NJ 07104-1657

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X37AC00334300 (NJ)

Mental Health Counselor: Definition to come...

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About NPI 1669002796

Kathleen Shaughnessy's National Provider Identifier is 1669002796, issued on Jan 16, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Orange, NJ. The record was last updated on Jan 16, 2020.