Individual provider · Type 1 NPI

Wayne Keith Shorter Ii, MED

Counselor · Johnson City, TN

NPI number 1457455131 Active

Practice location

109 W Watanga Ave
Johnson City, TN 37604

Call (423) 232-2700 Map

Fax (423) 232-2714

Mailing address

PO Box 9054
Gray, TN 37615-9054

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone 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 1457455131

Wayne Keith Shorter Ii, MED's National Provider Identifier is 1457455131, issued on Sep 12, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Johnson City, TN. The record was last updated on Jul 8, 2007.