Individual provider · Type 1 NPI
Shane Randal Davis
Counselor · Pullman, WA
NPI number
1013478759
Active
Practice location
340 NE Maple St
Pullman, WA 99163-4120
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
| Adult Companion | 372600000X | None listed |
Counselor: 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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About NPI 1013478759
Shane Randal Davis's National Provider Identifier is 1013478759, issued on Mar 26, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Pullman, WA. The record was last updated on Aug 24, 2022.