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

Rusty Shane Lister

Individual provider Counselor · NPI 1902421506

Rusty Shane Lister is a Counselor in Tacoma, Washington. Licensed in Washington. Registered with an NPI since 2020.

Licensed in
WA
In the registry since
2020
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Practice location Address checks out

1305 Tacoma Ave S Ste 305
Tacoma, WA 98402-1903
Phone: (479) 352-0128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X (WA)

Record details

NPI number1902421506
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 10, 2020
Last updated in NPPESJune 10, 2020
Certification dateJune 10, 2020

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