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Rusty Shane Lister
Counselor in Tacoma, Washington
NPI 1902421506

Rusty Shane Lister is a Counselor based in Tacoma, WA. Rusty Shane Lister practices in Tacoma, WA. The NPI Number for Rusty Shane Lister is 1902421506 and holds a License No. (Washington).

The current practice location address for Rusty Shane Lister is 1305 Tacoma Ave S Ste 305, Tacoma, WA and can be reached out via phone at 479-352-0128.

Location: 1305 Tacoma Ave S Ste 305, Tacoma, WA, 98402-1903
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902421506
Provider Name
Rusty Shane Lister
Credential
Provider Entity Type
Individual
Gender
Male
Address
1305 Tacoma Ave S Ste 305, Tacoma, WA, 98402-1903
Phone Number
479-352-0128
Fax Number
Provider Enumeration Date
06/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1305 Tacoma Ave S Ste 305
City
Tacoma
State
Washington
Zip
98402-1903
Phone Number
479-352-0128
Fax Number
person
Provider Business Mailing Address Details
Address
1305 Tacoma Ave S Ste 305
City
Tacoma
State
Washington
Zip
98402-1903
Phone Number
479-352-0128
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(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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