| Christine A. Shaman, Llc | |
|
3612 White Rose Ave Burnsville MN 55337-2402 | |
| (651) 492-0561 | |
| Not Available |
| Full Name | Christine A. Shaman, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3612 White Rose Ave, Burnsville, Minnesota |
| Authorized Official Name and Position | Chirstine Shaman (MSW, LICSW) |
| Authorized Official Contact | 6514920561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christine A. Shaman, Llc 3612 White Rose Ave Burnsville MN 55337-2402 Ph: () - | Christine A. Shaman, Llc 3612 White Rose Ave Burnsville MN 55337-2402 Ph: (651) 492-0561 |
| NPI Number | 1336586338 |
|---|---|
| Provider Enumeration Date | 05/30/2013 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336586338 | NPI | - | NPPES |
| 1811037310 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 15592 (Minnesota) | Primary |
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