| Mr Shaine Kenneth Hart, | |
|
9330 59th Ave Sw, Lakewood, WA 98499-2858 | |
| (253) 584-8933 | |
| (253) 581-6194 |
| Full Name | Mr Shaine Kenneth Hart |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 9330 59th Ave Sw, Lakewood, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427231976 | NPI | - | NPPES |
| RC00016879 | Other | WA | STATE OF WASHINGTON |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | RC0001689 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Shaine Kenneth Hart, 9330 59th Ave Sw, Lakewood, WA 98499-2858 Ph: () - | Mr Shaine Kenneth Hart, 9330 59th Ave Sw, Lakewood, WA 98499-2858 Ph: (253) 584-8933 |
Claudia Hockett, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-5042 | |
Ms. Tammy Marie Stewart, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-5833 Fax: 253-620-5789 | |
Ms. Sabrina Lavonne Thompson, AAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-5015 Fax: 253-620-5831 | |
Alida Rothgeb, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-7020 | |
Samantha Smith, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-5015 | |
Ashley Pettis, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-5015 | |
Tracey Wilber, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-5015 |