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

Shawntae Marie Wardell

Individual provider Mental Health Counselor · NPI 1780455154

Shawntae Marie Wardell is a Mental Health Counselor in Coos Bay, Oregon. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1885 Thompson Rd
Coos Bay, OR 97420-2152
Phone: (541) 266-8480
Fax: (541) 266-8479
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1780455154
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 12, 2024
Last updated in NPPESJanuary 12, 2024
Certification dateJanuary 12, 2024

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