Individual
PATRICE L SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CDP, C-BCS,
Contact information
Practice address
1107 SENECA CREEK RD, WEST SENECA, NY 14224-2437
(716) 674-1782
Mailing address
1107 SENECA CREEK RD, WEST SENECA, NY 14224-2437
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
163WN0800X
Neuroscience Registered Nurse
1831755818
NY
174H00000X
Health Educator
—
—
225800000X
Recreation Therapist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
NY
376G00000X
Nursing Home Administrator
Primary
4801015243
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831755818
NYS
NY
Enumeration date
05/14/2019
Last updated
12/13/2022
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