Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shanae Farquharson

Individual provider Marriage & Family Therapist · NPI 1144840562

Shanae Farquharson is a Marriage & Family Therapist in Media, Pennsylvania. Licensed in Delaware, Georgia, Illinois and New Jersey and 4 more. Registered with an NPI since 2020.

Licensed in
DE, GA, IL, NJ, NV, PA
In the registry since
2020
Specialties on file
9
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Practice location Address checks out

1055 E Baltimore Pike Ste 300
Media, PA 19063-5173
Phone: (610) 892-3800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence FT-0010069 (DE)
Marriage & Family Therapist Taxonomy 106H00000X · Licence MFT001797 (GA)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 0717002659 (VA)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 203940 (TX)
Mental Health Counselor Taxonomy 101YM0800X
Marriage & Family Therapist Taxonomy 106H00000X · Licence 37FI00195700 (NJ)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 4103-R (NV)
Marriage & Family Therapist Taxonomy 106H00000X · Licence MF001175 (PA)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 166012254 (IL)

Record details

NPI number1144840562
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 26, 2020
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026
Mailing address4991 Parkside Ave N Apt 108, Philadelphia, PA 19131-2519

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