Mariarose M Shanahe, LCSW

NPI #1326151895 in Bandon, Oregon

Provider Information

NPI Number
1326151895
Entity Type
Individual
Name
Mariarose M Shanahe, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
LCSW
Enumeration Date
Aug 17, 2006
Last Updated
Dec 7, 2009

Practice Location

Address
1010 1ST ST SE
Address 2
SUITE 265
City
Bandon
State
Oregon
ZIP Code
97411-9301
Phone
(541) 329-0110

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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