Individual provider · Type 1 NPI
Jacie Keiko Shimamoto
Mental Health Counselor · Spokane, WA
NPI number
1861362667
Active
Practice location
3410 W Whistalks Way
Spokane, WA 99224-5204
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1861362667
Jacie Keiko Shimamoto's National Provider Identifier is 1861362667, issued on Nov 6, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Spokane, WA. The record was last updated on Dec 1, 2025.