SHASTA MINERY, LCSW

Counselor - Mental Health

Active Individual
NPI: 1740001353

Practice Address

1048 SOUTH ST
Dover Foxcroft, ME 04426

Phone: (207) 564-3000

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes LC22698 (ME)

Frequently Asked Questions

NPI 1740001353 is the National Provider Identifier for SHASTA MINERY, LCSW, a Counselor - Mental Health provider located in Dover Foxcroft, ME. This NPI was enumerated on October 17, 2024.
SHASTA MINERY, LCSW practices at 1048 SOUTH ST, Dover Foxcroft, ME 04426.

Quick Facts

NPI
1740001353
Type
Individual
Enumerated
Oct 17, 2024
Last Updated
Jul 14, 2025

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