Etter, Maurice Shane

Etter, Maurice Shane is an individual health care provider with primary practice located at 504 23Rd St Nw , Roanoke VA 24017-5414. He 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 his primary health care specialty. Etter, Maurice Shane can be contacted via phone (540) 345-2606.

Contact Information

Primary practice address
504 23Rd St Nw Roanoke VA 24017-5414
Phone: (540) 345-2606
Fax: (540) 345-2608
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1053821884 Virginia
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904009951 Virginia

Profile Details

NPI number 1053821884
LBN Legal business name Etter, Maurice Shane
Credentials LCSW, CSAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2017
Last updated Jun 23rd, 2023 - about 3 years ago

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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