| Doctor Name: | SHANNON SANTORO |
| NPI Number: | 1437452273 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 37PC00413500 |
| Business Practice Address: | 390 Main Road New Bridge Services Montville, NJ - 07045 |
| Business Phone Number: | 9733169333 |
| Business Fax Number: | 9733165790 |
| Mailing Address: | P.o. Box 336, C/o New Bridge Services POMPTON PLAINS |
| State: | NJ |
| Postal Code: | 07444 |
| Phone Number: | 9738392520 |
| Fax Number: | 9736282240 |
| NPI Enumeration Date: | 12/17/2010 |
| NPI Last Update Date: | 12/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 37PC00413500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |