Individual
DOUGLAS DEAN SHUPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC INTERN
Contact information
Practice address
281 LACLAIR ST, COOS BAY, OR 97420-2988
(541) 266-6782
(541) 888-8726
Mailing address
281 LACLAIR ST, COOS BAY, OR 97420-2988
(541) 266-6782
(541) 888-8726
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/30/2010
Last updated
04/30/2020
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