Individual
MS. MIKEIL DEINAE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AAC,CPC
Contact information
Practice address
5802 RAINIER AVE S, SEATTLE, WA 98118-2706
(206) 723-1980
Mailing address
5802 RAINIER AVE S, SEATTLE, WA 98118-2706
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
WA
175T00000X
Peer Specialist
Primary
—
WA
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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