Individual
MR. SHAWN MICHAEL RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
17 MASONIC ST, ROCKLAND, ME 04841-2808
(207) 701-1762
Mailing address
66 W STREET EXT, ROCKPORT, ME 04856-5133
(207) 701-1762
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
XL3672
ME
Other
Enumeration date
09/10/2007
Last updated
10/09/2024
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