Individual provider · Type 1 NPI

Christopher Shane

Mental Health Counselor · Anaheim, CA

NPI number 1285105643 Active

Practice location

2531 W Woodland Dr
Anaheim, CA 92801-2637

Mailing address

5822 Crocus Cir
La Palma, CA 90623-2119

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1285105643

Christopher Shane's National Provider Identifier is 1285105643, issued on Dec 11, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Anaheim, CA. The record was last updated on Dec 11, 2018.