Shaun Dutile, MA, PC
Individual provider Active NPI Professional Counselor · Laconia, NH
NPI 1508568650 · NPPES record last updated Mar 21, 2023
Key facts
- NPI
- 1508568650
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 137 White Oaks Rd
Laconia, NH 03246-1934 - Phone
- (603) 366-8727
- NPI assigned
- Mar 21, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NH | Yes |
Addresses
Primary practice location
137 White Oaks Rd
Laconia, NH 03246-1934
Mailing address
137 White Oaks Rd
Laconia, NH 03246-1934
Phone (603) 366-8727
Other providers in Laconia, NH
- Erin N Duchemin
- Anna Carolyn Dunkelman Gallagher
- Sara Jeanne Dupont
- Elizabeth Durassaint
- Rachel J Dussault
- Jennifer Marion Dutton
- Constance Dwinal
- Kellie Eastman
- Brittany Sara Edmunds
- David Ehmann
All providers in Laconia, NH · Professional Counselor in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.