Shannon Moore
Shannon Moore is a Mental Health Counselor in Rosedale, Maryland. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Maryland.
- Years since qualifying
- 4
- Licensed in
- MD
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
9627 Philadelphia Rd Ste 160Rosedale, MD 21237-4157
Phone: (410) 780-5203
Fax: (410) 780-5205
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 16339 (MD) |
|---|---|
| Rehabilitation Practitioner | Taxonomy 225400000X |
Record details
| NPI number | 1912439001 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 29, 2017 |
| Last updated in NPPES | September 15, 2025 |
| Certification date | September 15, 2025 |
| Mailing address | 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237-4157 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |