Individual
SHASTA C MEYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 S DAYTON ST, KENNEWICK, WA 99336-3843
(509) 851-1720
Mailing address
2302 OLYMPIA ST, RICHLAND, WA 99354-3043
(509) 627-8556
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/05/2019
Last updated
11/27/2023
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