Individual provider · Type 1 NPI

Shane Andrew Skinner Sr., CDP

Addiction (Substance Use Disorder) Counselor · Kelso, WA

NPI number 1962979724 Active

Practice location

404 W Main St
Kelso, WA 98626-1118

Call (360) 423-2806 Map

Fax (360) 423-2806

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP60688887 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1962979724

Shane Andrew Skinner Sr., CDP's National Provider Identifier is 1962979724, issued on Oct 30, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kelso, WA. The record was last updated on Oct 30, 2018.