SHANNON PHAN – NPI #1063368272
Counselor
SHANNON PHAN is a counselor located in FAYETTEVILLE, NY. NPPES recently assigned the NPI number 1063368272 to SHANNON PHAN on March 09, 2026. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 101YM0800X from the Health Care Provider Taxonomy code set, which is classified as Counselor, specializing in Mental Health
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NPI Profile for
SHANNON PHAN
(about 3 months ago)
SUITE 504
FAYETTEVILLE, NY 13066 Phone: (315) 329-2650 Fax:
CLAY, NY 13041-8819 Phone: (315) 414-1252 Fax:
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A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 101YM0800X - Counselor / Mental Health (Primary) |
NY | P133718 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.