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Contact Information

SHANNON JEAN, LPC
1819 RUTHERFORD ST
RAHWAY, NJ07065-5217
 Phone: 908-472-3917
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Dance Therapist

225600000X
Indicates primary specialty

NPI Profile & details for SHANNON JEAN · (Female)

NPI # 1164034401
Status Active
Credentials LPC (Licensed Professional Counselor)
Entity Individual
Enumeration date 08/18/2020
Last updated 08/18/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 37PC00701200
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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