Shannon Phan
Shannon Phan is a Mental Health Counselor in Fayetteville, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2026
Practice location Address checks out
4000 Medical Center Dr Ste 504Fayetteville, NY 13066
Phone: (315) 329-2650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence P133718 (NY) |
|---|
Record details
| NPI number | 1063368272 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 9, 2026 |
| Last updated in NPPES | March 9, 2026 |
| Certification date | March 5, 2026 |
| Mailing address | 8584 McNamara Dr, Clay, NY 13041-8819 |
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