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Shannon J. Lane, MHRT-CSP
Counselor in Calais, Maine
NPI 1366728917

Shannon J. Lane is a Counselor based in Presque Isle, ME. Shannon J. Lane practices in Calais, ME and has the professional credentials of MHRT-CSP. The NPI Number for Shannon J. Lane is 1366728917 and holds a License No. (Maine).

The current practice location address for Shannon J. Lane is 127 Palmer St, Calais, ME and can be reached out via phone at 207-454-0270 and via fax at 207-454-0232.

Location: 127 Palmer St, Calais, ME, 04769-3183
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366728917
Provider Name
Shannon J. Lane
Credential
MHRT-CSP
Provider Entity Type
Individual
Gender
Female
Address
127 Palmer St, Calais, ME, 04769-3183
Phone Number
207-454-0270
Fax Number
207-454-0232
Provider Enumeration Date
10/27/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103850000 01 MAINE CARE
institution
Provider Business Practice Location Address Details
Address
127 Palmer St
City
Calais
State
Maine
Zip
04619-1300
Phone Number
207-454-0270
Fax Number
207-454-0232
person
Provider Business Mailing Address Details
Address
127 Palmer St
City
Calais
State
Maine
Zip
04619-1300
Phone Number
207-454-0270
Fax Number
207-454-0232
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
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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