| Jennifer Louise Shannon, MSW, LICSW | |
|
30 Conwell St, #1, Provincetown, MA 02657-1548 | |
| (508) 487-1192 | |
| (508) 487-5813 |
| Full Name | Jennifer Louise Shannon |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 30 Conwell St, Provincetown, Massachusetts |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528050812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 107036 (Massachusetts) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Louise Shannon, MSW, LICSW Po Box 2014, Truro, MA 02666-2014 Ph: (508) 487-1192 | Jennifer Louise Shannon, MSW, LICSW 30 Conwell St, #1, Provincetown, MA 02657-1548 Ph: (508) 487-1192 |
Harvey Taylor Wilson, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 21 Bayberry Ave, Provincetown, MA 02657 Phone: 508-487-2735 | |
Chelsea Crowe, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 74 Atkins Mayo Rd, Provincetown, MA 02657 Phone: 551-404-4180 | |
Michael Dubour, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 26 Nelson Ave, Provincetown, MA 02657 Phone: 917-359-7373 |