person
Mr. Shane Andrew Skinner SR., CDP
Addiction (Substance Use Disorder) Counselor in Kelso, Washington
NPI 1962979724

Shane Andrew Skinner SR. is an Addiction (Substance Use Disorder) Counselor based in Kelso, WA and is specialized in Addiction (Substance Use Disorder). Shane Andrew Skinner SR. practices in Kelso, WA and has the professional credentials of CDP. The NPI Number for Shane Andrew Skinner SR. is 1962979724 and holds a License No. CP60688887 (Washington).

The current practice location address for Shane Andrew Skinner SR. is 404 W Main St, Kelso, WA and can be reached out via phone at 360-423-2806 and via fax at 360-423-2806.

Location: 404 W Main St, Kelso, WA, 98626-1118
person
Provider Profile Details
NPI Number
1962979724
Provider Name
Shane Andrew Skinner SR.
Credential
CDP
Provider Entity Type
Individual
Gender
Male
Address
404 W Main St, Kelso, WA, 98626-1118
Phone Number
360-423-2806
Fax Number
360-423-2806
Provider Enumeration Date
10/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
404 W Main St
City
State
Zip
98626-1118
Phone Number
360-423-2806
Fax Number
360-423-2806
person
Provider Business Mailing Address Details
Address
404 W Main St
City
State
Zip
98626-1118
Phone Number
360-423-2806
Fax Number
360-423-2806
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CP60688887 (Washington)
Definition
Definition to come...
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