Shane Randal Davis
Shane Randal Davis is a Counselor in Pullman, Washington. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
340 NE Maple StPullman, WA 99163-4120
Phone: (509) 334-1133
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|---|
| Adult Companion | Taxonomy 372600000X |
Record details
| NPI number | 1013478759 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 26, 2019 |
| Last updated in NPPES | August 24, 2022 |
| Certification date | August 24, 2022 |
| Mailing address | 340 Ne Maple St, Pullman, WA 99163-4120 |
Other providers in Pullman
-
Cheyenne Cochran
254 E Main St Ste 226, Pullman, WA 99163-2683 · (208) 820-8513
-
Victoria Alexandra Howells
340 NE Maple St, Pullman, WA 99163-4120 · (509) 334-1133
-
Janay Maldonado
340 NE Maple St, Pullman, WA 99163-4120 · (509) 334-1133
-
Anand Nair
340 NE Maple St, Pullman, WA 99163-4120 · (509) 334-1133
-
Cameron Walsworth
340 NE Maple St, Pullman, WA 99163-4120 · (093) 344-1133