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Mr. Shaine Kenneth Hart
Mental Health Counselor in Lakewood, Washington
NPI 1427231976

Shaine Kenneth Hart is a Mental Health Counselor based in Lakewood, WA and is specialized in Mental Health. Shaine Kenneth Hart practices in Lakewood, WA. The NPI Number for Shaine Kenneth Hart is 1427231976 and holds a License No. RC0001689 (Washington).

The current practice location address for Shaine Kenneth Hart is 9330 59Th Ave Sw, Lakewood, WA and can be reached out via phone at 253-584-8933 and via fax at 253-581-6194.

Location: 9330 59Th Ave Sw, Lakewood, WA, 98499-2858
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427231976
Provider Name
Shaine Kenneth Hart
Credential
Provider Entity Type
Individual
Gender
Male
Address
9330 59Th Ave Sw, Lakewood, WA, 98499-2858
Phone Number
253-584-8933
Fax Number
253-581-6194
Provider Enumeration Date
12/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RC00016879 01 WA STATE OF WASHINGTON
institution
Provider Business Practice Location Address Details
Address
9330 59Th Ave Sw
City
Lakewood
State
Washington
Zip
98499-2858
Phone Number
253-584-8933
Fax Number
253-581-6194
person
Provider Business Mailing Address Details
Address
9330 59Th Ave Sw
City
Lakewood
State
Washington
Zip
98499-2858
Phone Number
253-584-8933
Fax Number
253-581-6194
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
RC0001689 (Washington)
Definition
Definition to come...
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