Shannon Jane Hendrickson, PMHCNS,BC Valid NPI

Individual provider · Counselor · Medford, MA

NPI

1073649919

Type

Individual (Type 1)

Primary specialty

Counselor

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101Y00000X

License number

110897 (MA)

Sex

Female

Sole proprietor

Yes

Enumerated

2007-02-26

Last updated

2009-10-05