SHANNON PHAN

FAYETTEVILLE, NY
NPI1063368272
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NY  P133718)
Enumeration Date2026-03-09
Last Update Date2026-03-09
Business Address
SHANNON PHAN
4000 MEDICAL CENTER DRIVE SUITE 504
FAYETTEVILLE, NY 13066
Phone number: 315-329-2650
Mailing Address
SHANNON PHAN
8584 MCNAMARA DR
CLAY, NY 13041-8819
Phone number: 315-414-1252
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