Individual
SHANNON LEE BUNNITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
607 RIVER RD, GREENE, ME 04236-4148
(207) 333-9661
Mailing address
607 RIVER RD, GREENE, ME 04236-4148
(207) 333-9661
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL3828
ME
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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