Individual
ROGER PIERRE SHEVENELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
663 GRANITE ST, FREEPORT, ME 04032-6288
(207) 653-1169
Mailing address
663 GRANITE ST, FREEPORT, ME 04032-6288
(207) 653-1169
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC853
ME
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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