Tabatha Maureen Shadel, LSWAIC

NPI #1912710856 in College Place, Washington

Provider Information

NPI Number: 1912710856
Entity Type: Individual
Name: Tabatha Maureen Shadel, LSWAIC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LSWAIC
Enumeration Date: Jan 27, 2025
Last Updated: Jan 27, 2025

Practice Location

Address: 1207 SE TRENTWOOD DR
City: College Place
State: Washington
ZIP Code: 99324-1877
Phone: (708) 466-7477

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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