Individual
JENNA ELIZABETH SHANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC-C, NCC
Contact information
Practice address
37 COLLEGE AVE, GORHAM, ME 04038-1032
(207) 780-4052
Mailing address
37 COLLEGE AVE, GORHAM, ME 04038-1032
(207) 780-4052
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL7366
ME
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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