Individual
SHANNON E MCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD (ABD), CESP
Contact information
Practice address
1526 COMMERCE AVE, LONGVIEW, WA 98632-4102
(360) 749-8056
(360) 749-8060
Mailing address
3015 LOUISIANA ST, LONGVIEW, WA 98632-3407
(360) 430-6447
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9358
CERTIFIED EMPLOYMENT SUPPORT PROFESSIONAL
WA
Enumeration date
08/03/2017
Last updated
08/03/2017
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