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Shea M Shattuck-faegre
Professional Counselor in Yarmouth, Maine
NPI 1720751969

Shea M Shattuck-faegre is a Professional Counselor based in Yarmouth, ME and is specialized in Professional. Shea M Shattuck-faegre practices in Yarmouth, ME. The NPI Number for Shea M Shattuck-faegre is 1720751969 and holds a License No. (Maine).

The current practice location address for Shea M Shattuck-faegre is 107 Bridge St Apt D, Yarmouth, ME and can be reached out via phone at 207-299-0022.

Location: 107 Bridge St Apt D, Yarmouth, ME, 04096-6767
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720751969
Provider Name
Shea M Shattuck-faegre
Credential
Provider Entity Type
Individual
Gender
Female
Address
107 Bridge St Apt D, Yarmouth, ME, 04096-6767
Phone Number
207-299-0022
Fax Number
Provider Enumeration Date
07/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
107 Bridge St Apt D
City
Yarmouth
State
Maine
Zip
04096-6767
Phone Number
207-299-0022
Fax Number
person
Provider Business Mailing Address Details
Address
107 Bridge St Apt D
City
Yarmouth
State
Maine
Zip
04096-6767
Phone Number
207-299-0022
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
XL6391 (Maine)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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