Individual
SHANNON FEELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
50 LYDIA LN, SOUTH PORTLAND, ME 04106-2156
(207) 712-6036
Mailing address
23 ELLSWORTH ST APT 3, PORTLAND, ME 04102-3116
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL7984
ME
Other
Enumeration date
02/27/2025
Last updated
02/28/2025
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