SHASTA MINERY

DOVER FOXCROFT, ME
NPI1740001353
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ME  LC22698)
Enumeration Date2024-10-17
Last Update Date2025-07-14
Business Address
SHASTA MINERY LCSW
1048 SOUTH ST
DOVER FOXCROFT, ME 04426-1232
Phone number: 207-564-3000
Mailing Address
SHASTA MINERY LCSW
PO BOX 405
TENANTS HARBOR, ME 04860-0405
Phone number: 207-975-3929