Jean, Shannon

Jean, Shannon is an sole proprietor health care provider with primary practice located at 1819 Rutherford St , Rahway NJ 07065-5217. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Dance Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Jean, Shannon can be contacted via phone (908) 472-3917.

Contact Information

Primary practice address
1819 Rutherford St Rahway NJ 07065-5217
Phone: (908) 472-3917
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Dance Therapist 225600000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 37PC00701200 New Jersey

Profile Details

NPI number 1164034401
LBN Legal business name Jean, Shannon
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2020
Last updated Aug 18th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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