National Provider Identifier

Shannon Elizabeth Bashore, MS

Shannon Elizabeth Bashore, MS is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Elmira, NY and a listed phone number of (607) 733-7661.

NPI 1336647890Elmira, NYMental Health Counselor

Profile Overview

NPI
1336647890
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
January 30, 2018
Last Updated
January 30, 2018

Practice Location

  • 1149 Sullivan St
  • Elmira, NY 14901-1670

Phone: (607) 733-7661

Mailing Address

  • 102 Elsbree St
  • Sayre, PA 18840-1209

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1336647890
Entity Type
Individual
Last Name
Bashore
First Name
Shannon
Middle Name
Elizabeth
Credential
MS
Mailing Street Address
102 Elsbree St
Mailing City
Sayre
Mailing State
PA
Mailing ZIP Code
18840-1209
Mailing Country
US
Mailing Phone
(607) 733-7661
Practice Street Address
1149 Sullivan St
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901-1670
Practice Country
US
Practice Phone
(607) 733-7661
Enumeration Date
January 30, 2018
Last Updated
January 30, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)