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

Shannon Tissera

Individual provider Mental Health Counselor · NPI 1245016021

Shannon Tissera is a Mental Health Counselor in Blandon, Pennsylvania. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

173 Kensington Blvd
Blandon, PA 19510-9518
Phone: (610) 698-6111
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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

Record details

NPI number1245016021
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 6, 2023
Last updated in NPPESSeptember 6, 2023
Certification dateSeptember 6, 2023
Mailing address173 Kensington Blvd, Blandon, PA 19510-9518

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