Individual
SHANNON G. REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHRT-CSP
Contact information
Practice address
127 PALMER ST, CALAIS, ME 04619-1300
(207) 454-0270
(207) 454-0232
Mailing address
127 PALMER ST, CALAIS, ME 04619-1300
(207) 454-0270
(207) 454-0232
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103850000
—
ME
Enumeration date
06/17/2011
Last updated
06/17/2011
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