Individual provider · Type 1 NPI
David Alan Shively, MA LMHC
Mental Health Counselor · Edmonds, WA
NPI number
1023128022
Active
Practice location
20903 70th W
Edmonds, WA 98026
Fax (425) 712-0539
Mailing address
13512 106th Dr SE
Snohomish, WA 98296
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 020703LH00004767 (WA) |
Mental Health Counselor: Definition to come...
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About NPI 1023128022
David Alan Shively, MA LMHC's National Provider Identifier is 1023128022, issued on Aug 30, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Edmonds, WA. The record was last updated on Jul 8, 2007.