Individual
SHELBY E PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
50 MOODY ST, SACO, ME 04072-1536
(800) 434-3000
Mailing address
50 MOODY ST, SACO, ME 04072-1536
(800) 434-3000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC6510
ME
101YP2500X
Professional Counselor
XL4936
ME
Other
Enumeration date
12/03/2019
Last updated
05/10/2022
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