Individual
SHAWNI EILEEN STORMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
12715 E MISSION AVE, SPOKANE VALLEY, WA 99216-1027
(509) 232-5766
(509) 232-5770
Mailing address
12715 E MISSION AVE, SPOKANE VALLEY, WA 99216-1027
(509) 232-5766
(509) 232-5770
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00006425
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YA0400X
—
WA
Enumeration date
12/07/2018
Last updated
06/11/2019
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