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Individual

MR. BRADLEY ROE SHUMATE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S, M.A., LMHC, LPC

Contact information

Practice address
3532 S WAPITI LN, SPOKANE VALLEY, WA 99206-1208
(360) 600-1070
(509) 919-4494
Mailing address
3532 S WAPITI LN, SPOKANE VALLEY, WA 99206-1208
(360) 600-1070
(509) 919-4494

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC.LH.00005889
WA
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
C3790
OR

Other

Enumeration date
12/12/2012
Last updated
04/20/2026
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