# SHANNON STUART-MAVER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750729232
- **Authorized official:** SHANNON LEIGH STUART-MAVER (LICENSED MARRIAGE & FAMILY THERAPIS)
- **Authorized official phone:** (707) 840-4668

## Contact information

- **Practice address:** 801 CRESCENT WAY, SUITE 3, ARCATA, CA 95521-6780
- **Practice address phone:** (707) 840-4668
- **Practice address fax:** (707) 822-3999
- **Mailing address:** PO BOX 4238, ARCATA, CA 95518-4238
- **Mailing address phone:** (707) 840-4668
- **Mailing address fax:** (707) 822-3999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MFC 46239 | CA | Yes |

## Other

- **Enumeration date:** 06/06/2013
- **Last updated:** 06/06/2013