Individual
STEPHANIE SHOPPELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
105 BACON STREET, PAWTUCKET, RI 02860
(401) 722-3560
(401) 722-5280
Mailing address
117 ELLENFIELD STREET SUITE 101, PROVIDENCE, RI 02905-4513
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC01027
RI
Other
Enumeration date
06/20/2016
Last updated
02/26/2019
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