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Shane Wax, MED
Mental Health Counselor in Plymouth, Massachusetts
NPI 1265864037

Shane Wax is a Mental Health Counselor based in Plymouth, MA and is specialized in Mental Health. Shane Wax practices in Plymouth, MA and has the professional credentials of MED. The NPI Number for Shane Wax is 1265864037 and holds a License No. (Massachusetts).

The current practice location address for Shane Wax is 1233 State Rd, Plymouth, MA and can be reached out via phone at 508-224-7701. You can also correspond with Shane Wax through the mailing address at 1233 STATE RD, PLYMOUTH, MA - 02360-5133 (mailing address contact number: 508-224-7701).

Location: 1233 State Rd, Plymouth, MA, 02360-5133
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265864037
Provider Name
Shane Wax
Credential
MED
Provider Entity Type
Individual
Gender
Male
Address
1233 State Rd, Plymouth, MA, 02360-5133
Phone Number
508-224-7701
Fax Number
Provider Enumeration Date
08/05/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1233 State Rd
City
Plymouth
State
Massachusetts
Zip
02360-5133
Phone Number
508-224-7701
Fax Number
person
Provider Business Mailing Address Details
Address
1233 State Rd
City
Plymouth
State
Massachusetts
Zip
02360-5133
Phone Number
508-224-7701
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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