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

Mr. Shane Andrew Skinner Sr., CDP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1962979724

Mr. Shane Andrew Skinner Sr., CDP is an Addiction (Substance Use Disorder) Counselor in Kelso, Washington. Licensed in Washington. Registered with an NPI since 2018.

Licensed in
WA
In the registry since
2018

Practice location Address checks out

404 W Main St
Kelso, WA 98626-1118
Phone: (360) 423-2806
Fax: (360) 423-2806
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CP60688887 (WA)

Record details

NPI number1962979724
Entity typeIndividual (Type 1)
GenderMale
Credentials CDP
Sole proprietorNo
NPI enumeratedOctober 30, 2018
Last updated in NPPESOctober 30, 2018

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