National Provider Identifier
Shannon Smith
Shannon Smith is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Rochester, NY and a listed phone number of (585) 200-7106.
Profile Overview
- NPI
- 1023583879
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- October 09, 2018
- Last Updated
- October 15, 2021
Practice Location
- 510 Clinton Sq
- Rochester, NY 14604-1700
Phone: (585) 200-7106
Specialties
- Mental Health Counselor (101YM0800X)
- Behavior Technician (106S00000X)
Full Record
- NPI
- 1023583879
- Entity Type
- Individual
- Last Name
- Smith
- First Name
- Shannon
- Mailing Street Address
- 510 Clinton Sq
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14604-1700
- Mailing Country
- US
- Mailing Phone
- (585) 200-7106
- Mailing Fax
- (973) 253-4500
- Practice Street Address
- 510 Clinton Sq
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14604-1700
- Practice Country
- US
- Practice Phone
- (585) 200-7106
- Enumeration Date
- October 09, 2018
- Last Updated
- October 15, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 15, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X), Behavior Technician (106S00000X)