Organization
HARBORSIDE COUNSELING AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON SCHAUBACH LPC (OWNER)
(757) 406-4882
Entity
Organization
Contact information
Practice address
103 OLIVER ST, SUFFOLK, VA 23434-6319
(757) 406-4882
Mailing address
103 OLIVER ST, SUFFOLK, VA 23434-6319
(757) 406-4882
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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