person
Shawntae Marie Wardell
Mental Health Counselor in Coos Bay, Oregon
NPI 1780455154

Shawntae Marie Wardell is a Mental Health Counselor based in Medford, OR and is specialized in Mental Health. Shawntae Marie Wardell practices in Coos Bay, OR. The NPI Number for Shawntae Marie Wardell is 1780455154 and holds a License No. (Oregon).

The current practice location address for Shawntae Marie Wardell is 1885 Thompson Rd, Coos Bay, OR and can be reached out via phone at 541-266-8480 and via fax at 541-266-8479. You can also correspond with Shawntae Marie Wardell through the mailing address at 3587 HEATHROW WAY, MEDFORD, OR - 97504-4004 (mailing address contact number: 541-266-8480).

Location: 1885 Thompson Rd, Coos Bay, OR, 97504-4004
person
Provider Profile Details
NPI Number
1780455154
Provider Name
Shawntae Marie Wardell
Credential
Provider Entity Type
Individual
Gender
Female
Address
1885 Thompson Rd, Coos Bay, OR, 97504-4004
Phone Number
541-266-8480
Fax Number
541-266-8479
Provider Enumeration Date
01/12/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1885 Thompson Rd
City
State
Zip
97420-2152
Phone Number
541-266-8480
Fax Number
541-266-8479
person
Provider Business Mailing Address Details
Address
1885 Thompson Rd
City
State
Zip
97420-2152
Phone Number
541-266-8480
Fax Number
541-266-8479
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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