Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE RANDAL DAVIS
Active Sole ProprietorSHANE RANDAL DAVIS is a Counselor healthcare provider located in PULLMAN, Washington. NPI 1013478759 is currently active in the NPPES registry. Verify at CMS.
Counselor · PULLMAN, WA
Registration Details
- NPI Number
- 1013478759
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 26, 2019 (7.425288219559 yrs)
- Last Updated
- Aug 24, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
340 NE MAPLE STPULLMAN, WA, 991634120Browse WA providers · Browse ZIP 99163
- Phone
- 5093341133
- Primary Specialty
-
Counselor
101Y00000X
- Additional Specialty
- Adult Companion
Other Counselor Providers in PULLMAN, WA
| Name | Credential | NPI |
|---|---|---|
| LORNA WIGEN | MSW | 1164996708 |
| LIHUA ZHU | — | 1952285611 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.