Individual
SHELLY MARIE VIERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CG 61184400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
Primary
CG61184400
WA
Other
Enumeration date
09/30/2021
Last updated
10/07/2021
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