Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Shaman Mayne

Individual provider Counselor · NPI 1811670433

Mr. Shaman Mayne is a Counselor in Kirkland, Washington. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

11410 NE 122nd Way Ste 100
Kirkland, WA 98034-6927
Phone: (425) 650-4005
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1811670433
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 10, 2023
Last updated in NPPESApril 27, 2025
Certification dateApril 27, 2025
Mailing addressPo Box 33568, San Diego, CA 92163-3568

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