Individual
REBECCA MARIE SHAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, DVCS, MHP
Contact information
Practice address
502 2ND AVE NE, PUYALLUP, WA 98372-5001
(253) 355-7428
Mailing address
PO BOX 866, GRAHAM, WA 98338-0866
(253) 355-7428
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LH60941392
WA
Other
Enumeration date
12/02/2019
Last updated
06/08/2020
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