Provider Demographics
NPI:1114606662
Name:MAGLIONE, SHANNON CATHLEEN
Entity Type:Individual
Prefix:MRS
First Name:SHANNON
Middle Name:CATHLEEN
Last Name:MAGLIONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:MARBLEHEAD
Mailing Address - State:MA
Mailing Address - Zip Code:01945-3042
Mailing Address - Country:US
Mailing Address - Phone:781-307-0098
Mailing Address - Fax:
Practice Address - Street 1:90 REDFIELD CIR
Practice Address - Street 2:
Practice Address - City:DERRY
Practice Address - State:NH
Practice Address - Zip Code:03038-4806
Practice Address - Country:US
Practice Address - Phone:781-640-1884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor