Theobald, Shannon

Theobald, Shannon is an individual health care provider with primary practice located at 181 New Rd Ste 304 , Parsippany NJ 07054-5625. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Theobald, Shannon can be contacted via phone (201) 389-9308.

Contact Information

Primary practice address
181 New Rd Ste 304 Parsippany NJ 07054-5625
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00896500 New Jersey

Profile Details

NPI number 1669146205
LBN Legal business name Theobald, Shannon
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2021
Last updated Oct 18th, 2022 - about 3 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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