Individual
SHANNON J HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C, NCC
Contact information
Practice address
16 KIDS PEACE WAY, ELLSWORTH, ME 04605-3483
(207) 667-0909
Mailing address
16 KIDS PEACE WAY, ELLSWORTH, ME 04605-3483
(207) 667-0909
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/05/2012
Last updated
05/29/2015
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