Individual provider · Type 1 NPI

Kristen Shannon

Counselor · Waltham, MA

NPI number 1922451434 Active

Practice location

210 Bear Hill Rd, Suite 203
Waltham, MA 02451-1025

Call (781) 290-4970 Map

Fax (781) 890-2624

Mailing address

10 Mechanic St, Suite 302
Worcester, MA 01608-2420

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1922451434

Kristen Shannon's National Provider Identifier is 1922451434, issued on Jul 20, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Waltham, MA. The record was last updated on Jul 20, 2016.