Individual
MRS. MO ANNE SHYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
130 MAIN ST STE 203C, SALEM, NH 03079-3173
(603) 216-9244
(603) 681-0567
Mailing address
130 MAIN ST STE 203C, SALEM, NH 03079-3173
(603) 216-9244
(603) 681-0567
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
418
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30421665
—
NH
01
—
343959
MAGELLAN
NH
Enumeration date
09/06/2006
Last updated
07/08/2007
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