Individual
PROF. CHRISTOPHER SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAC-AD, CRAT, LCC
Contact information
Practice address
22530 WASHINGTON ST, LEONARDTOWN, MD 20650-3898
(301) 850-2177
Mailing address
22530 WASHINGTON ST, PO BOX 87, LEONARDTOWN, MD 20650-3898
(301) 850-2177
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC0588
MD
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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