MICHAEL JACK SHOEMAKER MA LMHC DMHP NPI 1013446558

NPI Information

NPI: 1013446558
Provider Name: MICHAEL JACK SHOEMAKER, MA, LMHC, DMHP
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3859 MARTIN WAY E
OLYMPIA, WA
ZIP 98506
Phone: (360) 704-7170
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Michael Jack Shoemaker, MA, LMHC, DMHP is a mental health counselor in Olympia, WA. Michael Jack Shoemaker, MA, LMHC, DMHP NPI is 1013446558. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3859 MARTIN WAY E
OLYMPIA, WA
ZIP 98506-268
Phone: (360) 704-7170
Fax: (360) 754-1194

The enumeration date for this NPI number is 6/8/2017 and was last updated on 6/8/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	00005040	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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