Individual
SHAUN ALLEN WHITCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17018 15TH AVE NE, SHORELINE, WA 98155-5137
(206) 362-7282
(206) 362-7152
Mailing address
21521 73RD PL W APT 14, EDMONDS, WA 98026-7726
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60850878
WA
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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