Individual provider · Type 1 NPI

Shawntae Marie Wardell

Mental Health Counselor · Coos Bay, OR

NPI number 1780455154 Active

Practice location

1885 Thompson Rd
Coos Bay, OR 97420-2152

Call (541) 266-8480 Map

Fax (541) 266-8479

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1780455154

Shawntae Marie Wardell's National Provider Identifier is 1780455154, issued on Jan 12, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Coos Bay, OR. The record was last updated on Jan 12, 2024.