National Provider Identifier
Katie Lynn Shannon, LCAT, LCPC, LPC
Katie Lynn Shannon, LCAT, LCPC, LPC is listed in the NPPES registry with a primary specialty of Art Therapist in Rochester, NY and a listed phone number of (315) 681-7958.
Profile Overview
- NPI
- 1780286088
- Provider Type
- Individual
- Primary Specialty
- Art Therapist
- Enumeration Date
- November 11, 2020
- Last Updated
- February 13, 2023
Practice Location
- 919 Winton RD S Ste 316
- Rochester, NY 14618-1633
Phone: (315) 681-7958
Mailing Address
- 6 Lombard St Apt 1
- South Portland, ME 04106-5703
Specialties
- Art Therapist (221700000X)
- Mental Health Counselor (101YM0800X)
- Professional Counselor (101YP2500X)
Full Record
- NPI
- 1780286088
- Entity Type
- Individual
- Last Name
- Shannon
- First Name
- Katie
- Middle Name
- Lynn
- Credential
- LCAT, LCPC, LPC
- Mailing Street Address
- 6 Lombard St Apt 1
- Mailing City
- South Portland
- Mailing State
- ME
- Mailing ZIP Code
- 04106-5703
- Mailing Country
- US
- Mailing Phone
- (315) 681-7958
- Practice Street Address
- 919 Winton RD S Ste 316
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618-1633
- Practice Country
- US
- Practice Phone
- (315) 681-7958
- Enumeration Date
- November 11, 2020
- Last Updated
- February 13, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 13, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Art Therapist (221700000X), Mental Health Counselor (101YM0800X), Professional Counselor (101YP2500X)