person
Mr. Edward J. Shea, MA,LAC
Addiction (Substance Use Disorder) Counselor in Dickinson, North Dakota
NPI 1891718672

Edward J. Shea is an Addiction (Substance Use Disorder) Counselor based in Dickinson, ND and is specialized in Addiction (Substance Use Disorder). Edward J. Shea practices in Dickinson, ND and has the professional credentials of MA,LAC. The NPI Number for Edward J. Shea is 1891718672 and holds a License No. 1114 (North Dakota).

The current practice location address for Edward J. Shea is 200 Pulver Hall, Dickinson, ND and can be reached out via phone at 701-227-7580 and via fax at 701-227-7575.

Location: 200 Pulver Hall, Dickinson, ND, 58601-4878
person
Provider Profile Details
NPI Number
1891718672
Provider Name
Edward J. Shea
Credential
MA,LAC
Provider Entity Type
Individual
Gender
Male
Address
200 Pulver Hall, Dickinson, ND, 58601-4878
Phone Number
701-227-7580
Fax Number
701-227-7575
Provider Enumeration Date
07/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
54523 05 ND
09113 01 ND BCBS PIN
institution
Provider Business Practice Location Address Details
Address
200 Pulver Hall
City
State
Zip
58601-4878
Phone Number
701-227-7580
Fax Number
701-227-7575
person
Provider Business Mailing Address Details
Address
200 Pulver Hall
City
State
Zip
58601-4878
Phone Number
701-227-7580
Fax Number
701-227-7575
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1114 (North Dakota)
Definition
Definition to come...
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