Individual
SHANNON L KLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37 S LONG SWAMP RD, JACKSON, ME 04921-3151
(207) 907-8431
Mailing address
37 S LONG SWAMP RD, JACKSON, ME 04921-3151
(207) 907-8431
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL6834
ME
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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