MR. Shane Andrew Skinner SR., CDP
NPI #1962979724 in Kelso, Washington
Provider Information
- NPI Number
- 1962979724
- Entity Type
- Individual
- Name
- MR. Shane Andrew Skinner SR., CDP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CDP
- Enumeration Date
- Oct 30, 2018
- Last Updated
- Oct 30, 2018
Practice Location
- Address
- 404 W MAIN ST
- City
- Kelso
- State
- Washington
- ZIP Code
- 98626-1118
- Phone
- (360) 423-2806
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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