Most Relevant Information
Provider Data
| NPI Number: | 1003354317 |
| Provider Name: | SHANNON GUNNIP SHEPHERD LMHC, LPCC, LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/07/2017 |
| Last Updated: | 12/05/2023 |
Provider Practice Location
19 UNION SQ W
7TH FLOOR
NEW YORK
NY
100033304
Practice Location Phone/Fax
| Phone: | 2126279600 |
| Fax: |
Provider Mailing Location
PO BOX 179
GOSHEN
CT
067560179
Provider Mailing Phone/Fax
| Phone: | 9293733747 |
| Fax: |