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

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed
Adult Companion 372600000XNone 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.