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Mr. Steven Lee Shahan JR., CG61060674
Counselor in Centralia, Washington
NPI 1164051736

Steven Lee Shahan JR. is a Counselor based in Tumwater, WA. Steven Lee Shahan JR. practices in Centralia, WA and has the professional credentials of CG61060674. The NPI Number for Steven Lee Shahan JR. is 1164051736 and holds a License No. CG61060674 (Washington).

The current practice location address for Steven Lee Shahan JR. is 2428 W Reynolds Ave, Centralia, WA and can be reached out via phone at 360-623-8020.

Location: 2428 W Reynolds Ave, Centralia, WA, 98501-6106
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164051736
Provider Name
Steven Lee Shahan JR.
Credential
CG61060674
Provider Entity Type
Individual
Gender
Male
Address
2428 W Reynolds Ave, Centralia, WA, 98501-6106
Phone Number
360-623-8020
Fax Number
Provider Enumeration Date
04/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2428 W Reynolds Ave
City
Centralia
State
Washington
Zip
98531-4554
Phone Number
360-623-8020
Fax Number
person
Provider Business Mailing Address Details
Address
2428 W Reynolds Ave
City
Centralia
State
Washington
Zip
98531-4554
Phone Number
360-623-8020
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
CG61060674 (Washington)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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