Shelley Rosen Therapy PLLC
Counselor, Professional in Portland, ME. Organization (NPI-2).
NPI number1558097600
StatusActive
Last updated in NPPESJul 29, 2022
Details
- NPI
- 1558097600
- Entity type
- Organization (NPI-2)
- Legal business name
- Shelley Rosen Therapy PLLC
- Organization subpart
- No
- Enumeration date
- Jul 29, 2022
- Certification date
- Jul 29, 2022
- Last updated
- Jul 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
52 Center StPortland, ME 04101-3902
Phone 207-699-8674
Mailing address
50 Market StSuite 1a Pmb 268
South Portland, ME 04106-3647
Phone 207-699-8674
Authorized official
Shelley Walker Rosen
Provider
2076998674
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