Individual
SHAWNAE TENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUPDT
Contact information
Practice address
4120 MERIDIAN ST STE 220, BELLINGHAM, WA 98226-5575
(360) 922-3030
Mailing address
1416 MARINE DR, BELLINGHAM, WA 98225-8432
(360) 684-4246
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61550758
WA
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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