Individual
MS. SHANNON CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
162 MAIN ST, YARMOUTH, ME 04096-6712
(207) 373-8463
Mailing address
PO BOX 76, YARMOUTH, ME 04096-0076
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
03/04/2025
Last updated
04/01/2025
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