Shogreen, James Raymond

Shogreen, James Raymond is an individual health care provider with primary practice located at 1956 Ne Kresky Avenue , Chehalis WA 98532-2307. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Shogreen, James Raymond can be contacted via phone (360) 740-4380.

Contact Information

Primary practice address
1956 Ne Kresky Avenue Chehalis WA 98532-2307
Phone: (360) 740-4380
Fax: (360) 740-1877
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 61172073 Washington

Profile Details

NPI number 1396302337
LBN Legal business name Shogreen, James Raymond
Credentials SUDPT
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2019
Last updated Aug 12th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396302337 NPPES
Washington MEDICAID 2178704

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