| Shannen Clark, COUNSELOR | |
|
526 Old Liverpool Rd Ste 9, Liverpool, NY 13088-6285 | |
| (315) 453-3911 | |
| Not Available |
| Full Name | Shannen Clark |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 526 Old Liverpool Rd Ste 9, Liverpool, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356980122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shannen Clark, COUNSELOR 147 Cumberland Ave, Syracuse, NY 13210-2211 Ph: () - | Shannen Clark, COUNSELOR 526 Old Liverpool Rd Ste 9, Liverpool, NY 13088-6285 Ph: (315) 453-3911 |
Lauren Hibbard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 526 Old Liverpool Road, Liverpool, NY 13088 Phone: 315-453-3911 Fax: 315-453-0197 | |
Natasha Ginter, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8130 Oswego Rd, Liverpool, NY 13090 Phone: 315-652-0000 | |
Adam Siegel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 526 Old Liverpool Rd, Liverpool, NY 13088 Phone: 315-453-3911 Fax: 315-453-0197 | |
Angela Rice, Counselor Medicare: Not Enrolled in Medicare Practice Location: 526 Old Liverpool Rd Ste 9, Liverpool, NY 13088 Phone: 315-453-3911 Fax: 315-453-0197 | |
Mrs. Pamela E. Gicale, MS, LMHC, RPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4321 Forestbrook Dr, Liverpool, NY 13090 Phone: 315-569-3696 | |
Kristin Albright, MS Counselor Medicare: Accepting Medicare Assignments Practice Location: 526 Old Liverpool Rd Ste 9, Liverpool, NY 13088 Phone: 315-453-3911 | |
Leslie Woodward, Counselor Medicare: Not Enrolled in Medicare Practice Location: 526 Old Liverpool Rd, Liverpool, NY 13088 Phone: 315-453-3911 |