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Shane Mitchell
Student in an Organized Health Care Education/Training Program in Tukwila, Washington
NPI 1366052037

Shane Mitchell is a Student in an Organized Health Care Education/Training Program based in Tukwila, WA. Shane Mitchell practices in Tukwila, WA. The NPI Number for Shane Mitchell is 1366052037 and holds a License No. (Washington).

The current practice location address for Shane Mitchell is 6100 Southcenter Blvd, Tukwila, WA and can be reached out via phone at 206-444-7800 and via fax at 206-444-7810.

Location: 6100 Southcenter Blvd, Tukwila, WA, 98188-2547
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366052037
Provider Name
Shane Mitchell
Credential
Provider Entity Type
Individual
Gender
Male
Address
6100 Southcenter Blvd, Tukwila, WA, 98188-2547
Phone Number
206-444-7800
Fax Number
206-444-7810
Provider Enumeration Date
08/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6100 Southcenter Blvd
City
Tukwila
State
Washington
Zip
98188-2442
Phone Number
206-444-7800
Fax Number
206-444-7810
person
Provider Business Mailing Address Details
Address
6100 Southcenter Blvd
City
Tukwila
State
Washington
Zip
98188-2442
Phone Number
206-444-7800
Fax Number
206-444-7810
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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