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Shawn Humberson
Peer Specialist in Newcastle, Wyoming
NPI 1982217790

Shawn Humberson is a Peer Specialist based in Sheridan, WY. Shawn Humberson practices in Newcastle, WY. The NPI Number for Shawn Humberson is 1982217790 and holds a License No. ICPR-008 (Wyoming).

The current practice location address for Shawn Humberson is 420 Deanne Ave, Newcastle, WY and can be reached out via phone at 307-746-4456.

Location: 420 Deanne Ave, Newcastle, WY, 82801-3282
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982217790
Provider Name
Shawn Humberson
Credential
Provider Entity Type
Individual
Gender
Female
Address
420 Deanne Ave, Newcastle, WY, 82801-3282
Phone Number
307-746-4456
Fax Number
Provider Enumeration Date
08/31/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
420 Deanne Ave
City
Newcastle
State
Wyoming
Zip
82701-2936
Phone Number
307-746-4456
Fax Number
person
Provider Business Mailing Address Details
Address
420 Deanne Ave
City
Newcastle
State
Wyoming
Zip
82701-2936
Phone Number
307-746-4456
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
ICPR-008 (Wyoming)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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