Individual
SHANNON LEE SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
248 STATE ST STE 13B, ELLSWORTH, ME 04605-1850
(207) 835-5809
Mailing address
248 STATE ST STE 13B, ELLSWORTH, ME 04605-1850
(207) 835-5809
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC4944
—
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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