Individual provider · Type 1 NPI

Adam Shane

Mental Health Counselor · Dayton, OH

NPI number 1114428596 Active

Practice location

6300 N Main St
Dayton, OH 45415-3154

Call (937) 275-1500 Map

Mailing address

43 Country Manor Ln
Dayton, OH 45458-2320

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC.1700654-TRNE (OH)

Mental Health Counselor: Definition to come...

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About NPI 1114428596

Adam Shane's National Provider Identifier is 1114428596, issued on Feb 22, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dayton, OH. The record was last updated on Feb 22, 2018.