person
Susan Shaw I, LCPC
Mental Health Counselor in South Portland, Maine
NPI 1154795680

Susan Shaw I is a Mental Health Counselor based in South Portland, ME and is specialized in Mental Health. Susan Shaw I practices in South Portland, ME and has the professional credentials of LCPC. The NPI Number for Susan Shaw I is 1154795680 and holds a License No. CC4414 (Maine).

The current practice location address for Susan Shaw I is 50 Lydia Ln, South Portland, ME and can be reached out via phone at 207-331-6102.

Location: 50 Lydia Ln, South Portland, ME, 04106-2156
person
Provider Profile Details
NPI Number
1154795680
Provider Name
Susan Shaw I
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
50 Lydia Ln, South Portland, ME, 04106-2156
Phone Number
207-331-6102
Fax Number
Provider Enumeration Date
11/20/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
50 Lydia Ln
City
State
Zip
04106-2156
Phone Number
207-331-6102
Fax Number
person
Provider Business Mailing Address Details
Address
50 Lydia Ln
City
State
Zip
04106-2156
Phone Number
207-331-6102
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CC4414 (Maine)
Definition
Definition to come...
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