National Provider Identifier

Shannon Allen

Shannon Allen is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Lockport, NY and a listed phone number of (716) 433-2484.

NPI 1588109730Lockport, NYMental Health Counselor

Profile Overview

NPI
1588109730
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
December 27, 2016
Last Updated
July 10, 2023

Practice Location

  • 637 Davison RD
  • Lockport, NY 14094-5339

Phone: (716) 433-2484

Mailing Address

  • 55 Dodge RD
  • Getzville, NY 14068-1205

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1588109730
Entity Type
Individual
Last Name
Allen
First Name
Shannon
Provider Other Last Name
Kulbacki
Provider Other First Name
Shannon
Provider Other Last Name Type Code
1
Mailing Street Address
55 Dodge RD
Mailing City
Getzville
Mailing State
NY
Mailing ZIP Code
14068-1205
Mailing Country
US
Mailing Phone
(716) 831-2700
Practice Street Address
637 Davison RD
Practice City
Lockport
Practice State
NY
Practice ZIP Code
14094-5339
Practice Country
US
Practice Phone
(716) 433-2484
Enumeration Date
December 27, 2016
Last Updated
July 10, 2023
Sex
Female
Sole Proprietor
No
Certification Date
July 10, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)