Individual provider · Type 1 NPI

Susan Shaw I, LCPC

Mental Health Counselor · South Portland, ME

NPI number 1154795680 Active

Practice location

50 Lydia Ln
South Portland, ME 04106-2156

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCC4414 (ME)

Mental Health Counselor: Definition to come...

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About NPI 1154795680

Susan Shaw I, LCPC's National Provider Identifier is 1154795680, issued on Nov 20, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in South Portland, ME. The record was last updated on Nov 20, 2015.