Individual provider · Type 1 NPI

Shannon Lee Derby, LMHC, CAC

Mental Health Counselor · Marlborough, MA

NPI number 1962365940 Active

Practice location

28 Lord Rd Ste 215
Marlborough, MA 01752-4549

Call (781) 666-2711 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCAC.100099 (FL)
Mental Health Counselor Primary 101YM0800XMH17175 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1962365940

Shannon Lee Derby, LMHC, CAC's National Provider Identifier is 1962365940, issued on Dec 5, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Marlborough, MA. The record was last updated on Jul 1, 2026.