Individual
CAMERON LAINE SHIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8001 E COMMONS CT, PORT ORCHARD, WA 98366-7511
(214) 263-3464
Mailing address
8001 E COMMONS CT, PORT ORCHARD, WA 98366-7511
(214) 263-3464
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHCA.MC.61513158
WA
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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