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

Shannen Clark, COUNSELOR

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1356980122

Shannen Clark, COUNSELOR is an Addiction (Substance Use Disorder) Counselor in Liverpool, New York. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

526 Old Liverpool Rd Ste 9
Liverpool, NY 13088-6285
Phone: (315) 453-3911
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1356980122
Entity typeIndividual (Type 1)
GenderFemale
Credentials COUNSELOR
Sole proprietorNo
NPI enumeratedDecember 27, 2019
Last updated in NPPESDecember 22, 2020
Certification dateDecember 22, 2020

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