Individual provider · Type 1 NPI

Edward J. Shea, MA, LAC

Addiction (Substance Use Disorder) Counselor · Dickinson, ND

NPI number 1891718672 Active

Practice location

200 Pulver Hall
Dickinson, ND 58601-4878

Fax (701) 227-7575

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1114 (ND)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1891718672

Edward J. Shea, MA, LAC's National Provider Identifier is 1891718672, issued on Jul 25, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dickinson, ND. The record was last updated on Jul 8, 2007.