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Shannon Dale Polmateer, MA,NCC
Mental Health Counselor in Lafayette, Indiana
NPI 1053501957

Shannon Dale Polmateer is a Mental Health Counselor based in Lafayette, IN and is specialized in Mental Health. Shannon Dale Polmateer practices in Lafayette, IN and has the professional credentials of MA,NCC. The NPI Number for Shannon Dale Polmateer is 1053501957 and holds a License No. (Indiana).

The current practice location address for Shannon Dale Polmateer is 615 N 18Th St, Lafayette, IN and can be reached out via phone at 765-423-5361.

Location: 615 N 18Th St, Lafayette, IN, 47904
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053501957
Provider Name
Shannon Dale Polmateer
Credential
MA,NCC
Provider Entity Type
Individual
Gender
Male
Address
615 N 18Th St, Lafayette, IN, 47904
Phone Number
765-423-5361
Fax Number
Provider Enumeration Date
07/26/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
615 N 18Th St
City
Lafayette
State
Indiana
Zip
47904
Phone Number
765-423-5361
Fax Number
person
Provider Business Mailing Address Details
Address
615 N 18Th St
City
Lafayette
State
Indiana
Zip
47904
Phone Number
765-423-5361
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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