Individual
CHEYENNE SHATNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3773 MARTIN WAY E STE 105, OLYMPIA, WA 98506-4400
(360) 688-7312
Mailing address
3773 MARTIN WAY E STE 105, OLYMPIA, WA 98506-4400
(360) 688-7312
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61172126
WA
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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