Male or Other

Christopher E. Shanahan LICSW

Clinical Social Worker in Northampton, MA(View on Map)

Full Name

Christopher Edwards Shanahan LICSW

NPI Number

1023574472

NPI Type

Individual Provider

Gender

Male

Enumeration Date

02/11/2019

Specialties

(Taxonomies)

Code

1041C0700X
104100000X

Primary Taxonomy

Yes
No

Licenses

State

Massachusetts
Massachusetts

License Number

122804
210367

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 60202
50 PLEASANT ST

City

Florence
Northampton

State

MA
MA

Postal Code

01062-0202
01060-4127

Country

US
US

Telephone Number

(413) 320-0064
(413) 584-6855

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/29/2021

Provider Address

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