Individual
ERICA SHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
235 W LANCASTER AVE, DEVON, PA 19333-1560
(484) 551-3366
Mailing address
200 W ELM ST STE 1428, CONSHOHOCKEN, PA 19428-4104
(610) 755-1091
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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