SHANNON JACKSON

MANCHESTER, CT
NPI1417281064
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CT  00297)
Enumeration Date2009-09-30
Last Update Date2009-09-30
Business Address
Dr. SHANNON JACKSON Psy.D.
150 NORTH MAIN ST ECHN HEALTH SERVICES
MANCHESTER, CT 06040-4188
Phone number: 860-647-6832
Mailing Address
Dr. SHANNON JACKSON Psy.D.
150 NORTH MAIN STREET ECHN ADULT AMBULATORY SERVICES
MANCHESTER, CT 06040-4188
Phone number: 860-647-6832
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