Shawn Teal, M.S., LCMHC

Individual provider Active NPI Professional Counselor · Dover, NH

NPI 1629124342 · NPPES record last updated Jul 11, 2019

Key facts

NPI
1629124342
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
Practice address
6 Old Rochester Rd Ste 302
Dover, NH 03820-2028
Phone
(978) 457-9200
Fax
(888) 972-5019
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Yes

Addresses

Primary practice location

6 Old Rochester Rd Ste 302
Dover, NH 03820-2028

Mailing address

6 Old Rochester Rd Ste 302
Dover, NH 03820-2028
Phone (978) 457-9200

Other practice location 1

24 Morrill Pl
Amesbury, MA 01913-3530
Phone (978) 388-5700

Other providers in Dover, NH

All providers in Dover, NH · Professional Counselor in New Hampshire

Sources for this page

Verify at the official NPI Registry.