Bezusko, Shanae Marie

Bezusko, Shanae Marie is an sole proprietor health care provider with primary practice located at 10316 107Th Avenue Ct , Anderson Island WA 98303-8629. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bezusko, Shanae Marie can be contacted via phone (971) 314-9513.

Contact Information

Primary practice address
10316 107Th Avenue Ct Anderson Island WA 98303-8629
Phone: (971) 314-9513
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Social Worker 104100000X SC60479931 Washington
Behavioral Health & Social Service Providers / Clinical 1041C0700X LW60788498 Washington

Profile Details

NPI number 1285067942
LBN Legal business name Bezusko, Shanae Marie
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2013
Last updated Feb 21st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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