Wooten, Shannon Elizabeth

Wooten, Shannon Elizabeth is an sole proprietor health care provider with primary practice located at 64 Eldredge St , Newton MA 02458-2017. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Wooten, Shannon Elizabeth can be contacted via phone (617) 969-4925.

Contact Information

Primary practice address
64 Eldredge St Newton MA 02458-2017
Phone: (617) 969-4925
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1972113520
LBN Legal business name Wooten, Shannon Elizabeth
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2020
Last updated Aug 7th, 2020 - about 5 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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