Individual
MRS. CAROL ANN SHUMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8915 SW CENTER ST, TIGARD, OR 97223-6307
(503) 726-3698
(503) 726-3699
Mailing address
8915 SW CENTER ST, TIGARD, OR 97223-6307
(503) 726-3796
(503) 644-2616
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
AZ
1041C0700X
Clinical Social Worker
LCSW11569
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
346214
—
AZ
Enumeration date
02/06/2008
Last updated
07/21/2022
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