Individual
COURTNEY NOELLE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
659 HOGAN RD, BANGOR, ME 04401-3626
(207) 973-0400
Mailing address
659 HOGAN RD, BANGOR, ME 04401-3626
(207) 973-0400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC9144
ME
Other
Enumeration date
01/08/2020
Last updated
12/30/2025
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