Individual provider · Type 1 NPI

Shannon Dale Polmateer, MA, NCC

Mental Health Counselor · Lafayette, IN

NPI number 1053501957 Active

Practice location

615 N 18th St, Suite 201
Lafayette, IN 47904

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1053501957

Shannon Dale Polmateer, MA, NCC's National Provider Identifier is 1053501957, issued on Jul 26, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lafayette, IN. The record was last updated on Jul 26, 2007.