Most Relevant Information
Provider Data
| NPI Number: | 1003552753 |
| Provider Name: | SHANNON CANNING |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/06/2022 |
| Last Updated: | 10/12/2022 |
Provider Practice Location
40 PEARL ST
LANCASTER
PA
176033231
Practice Location Phone/Fax
| Phone: | 7173978081 |
| Fax: |
Provider Mailing Location
200 N 7TH ST
LEBANON
PA
170465040
Provider Mailing Phone/Fax
| Phone: | 7172725464 |
| Fax: | 7173761712 |