JOHN SHATTUCK LMHC NPI 1205230794

NPI Information

NPI: 1205230794
Provider Name: JOHN SHATTUCK, LMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1800 COOPER POINT RD SW STE 17
OLYMPIA, WA
ZIP 98502
Phone: (360) 915-3887
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John Shattuck, LMHC is a mental health counselor in Olympia, WA. John Shattuck, LMHC NPI is 1205230794. 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:

1800 COOPER POINT RD SW STE 17
OLYMPIA, WA
ZIP 98502-179
Phone: (360) 915-3887

The enumeration date for this NPI number is 10/14/2014 and was last updated on 10/14/2014.

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	LH60509524	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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