# SHANNON M TAIT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1093995037
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | RC00052034 | WA | — |
| 106H00000X | Marriage & Family Therapist | LF60074427 | WA | Yes |

## Other

- **Enumeration date:** 11/07/2007
- **Last updated:** 04/28/2023