Individual
ANNA BRIGITTE SHUQOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Contact information
Practice address
4 WELCH DR, SCARBOROUGH, ME 04074-9327
(678) 549-5062
Mailing address
4 WELCH DR, SCARBOROUGH, ME 04074-9327
(678) 549-5062
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
CC7760
ME
Other
Enumeration date
09/09/2017
Last updated
12/02/2024
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