Individual
MR. DAVID ALAN SHIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LMHC
Contact information
Practice address
20903 70TH W, EDMONDS, WA 98026
(425) 672-3333
(425) 712-0539
Mailing address
13512 106TH DR SE, SNOHOMISH, WA 98296
(360) 668-6919
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
020703LH00004767
WA
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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