Individual
MS. DIANE RUTH SHEWMAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, LPC, LCPC
Contact information
Practice address
5319 BALUSTRADE BLVD SE, LACEY, WA 98513-5022
(360) 412-5433
Mailing address
5319 BALUSTRADE BLVD SE, LACEY, WA 98513-5022
(360) 412-5433
(360) 412-5434
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LC0152
MD
101YM0800X
Mental Health Counselor
Primary
LH60149994
WA
101YM0800X
Mental Health Counselor
PRC89
DC
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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