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Shelly Lynn Largent
Addiction (Substance Use Disorder) Counselor in Chehalis, Washington
NPI 1902476948

Shelly Lynn Largent is an Addiction (Substance Use Disorder) Counselor based in Chehalis, WA and is specialized in Addiction (Substance Use Disorder). Shelly Lynn Largent practices in Chehalis, WA. The NPI Number for Shelly Lynn Largent is 1902476948 and holds a License No. CP60298456 (Washington).

The current practice location address for Shelly Lynn Largent is 500 Se Washington Ave., Chehalis, WA and can be reached out via phone at 360-507-8032.

Location: 500 Se Washington Ave., Chehalis, WA, 98532
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902476948
Provider Name
Shelly Lynn Largent
Credential
Provider Entity Type
Individual
Gender
Female
Address
500 Se Washington Ave., Chehalis, WA, 98532
Phone Number
360-507-8032
Fax Number
Provider Enumeration Date
07/01/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2077844 05 WA
institution
Provider Business Practice Location Address Details
Address
500 Se Washington Ave.
City
Chehalis
State
Washington
Zip
98532
Phone Number
360-507-8032
Fax Number
person
Provider Business Mailing Address Details
Address
500 Se Washington Ave.
City
Chehalis
State
Washington
Zip
98532
Phone Number
360-507-8032
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CP60298456 (Washington)
Definition
Definition to come...
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