Individual
JOHN SHAKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9 LIME ST, BOSTON, MA 02108-1102
(617) 671-9212
Mailing address
9 LIME ST, BOSTON, MA 02108-1102
(617) 671-9212
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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