Organization
SHINE COUNSELING AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE REILLY GAMBELL LICSW (MANAGING MEMBER)
(781) 427-6146
Entity
Organization
Contact information
Practice address
80 WASHINGTON ST STE C17, NORWELL, MA 02061-1729
(781) 427-6146
Mailing address
80 WASHINGTON ST STE C17, NORWELL, MA 02061-1729
(781) 427-6146
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
118888
MA
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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