Individual provider · Type 1 NPI
Shawn Michael Severse, CDP
Addiction (Substance Use Disorder) Counselor · Tacoma, WA
NPI number
1639214075
Active
Practice location
2209 E 32nd St
Tacoma, WA 98404-4922
Fax (253) 382-2091
Mailing address
4118 118th Avenue Ct E
Edgewood, WA 98372-2393
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CP00005900 (WA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1639214075
Shawn Michael Severse, CDP's National Provider Identifier is 1639214075, issued on Feb 21, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tacoma, WA. The record was last updated on Jul 8, 2007.