Individual
JOSHUA SHAMOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
T-17-348
OR
1041C0700X
Clinical Social Worker
Primary
089.0135034
VT
Other
Enumeration date
07/10/2018
Last updated
12/28/2022
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