MR. Steven Lee Shahan JR., CG61060674
NPI #1164051736 in Centralia, Washington
Provider Information
- NPI Number
- 1164051736
- Entity Type
- Individual
- Name
- MR. Steven Lee Shahan JR., CG61060674
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Credential
- CG61060674
- Enumeration Date
- Apr 6, 2020
- Last Updated
- Apr 6, 2020
Practice Location
- Address
- 2428 W REYNOLDS AVE
- City
- Centralia
- State
- Washington
- ZIP Code
- 98531-4554
- Phone
- (360) 623-8020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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