Individual provider · Type 1 NPI

Shaman Mayne

Counselor · Kirkland, WA

NPI number 1811670433 Active

Practice location

11410 NE 122nd Way Ste 100
Kirkland, WA 98034-6927

Call (425) 650-4005 Map

Mailing address

PO Box 33568
San Diego, CA 92163-3568

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 1811670433

Shaman Mayne's National Provider Identifier is 1811670433, issued on Aug 10, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Kirkland, WA. The record was last updated on Apr 27, 2025.