Pettit, Shannon E.

Pettit, Shannon E. is an individual health care provider with primary practice located at 68 Mount Hope Ave , Bangor ME 04401-4096. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Pettit, Shannon E. can be contacted via phone (207) 949-3270.

Contact Information

Primary practice address
68 Mount Hope Ave Bangor ME 04401-4096
Phone: (207) 949-3270
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CAC4201 Maine
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CCS8417 Maine
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC13000 Maine

Profile Details

NPI number 1649474156
LBN Legal business name Pettit, Shannon E.
Credentials LCSW, CADC, CCS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2007
Last updated Dec 20th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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