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Shanice Marie Lea

Counselor, Mental Health in Bremerton, WA. Individual provider (NPI-1).

NPI number1982185732
StatusActive
Last updated in NPPESMar 8, 2024

Details

NPI
1982185732
Entity type
Individual (NPI-1)
Name
Shanice Marie Lea
Sex
Female
Sole proprietor
No
Enumeration date
Aug 28, 2018
Certification date
Mar 8, 2024
Last updated
Mar 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes
101Y00000X Counselor––

Practice location

5455 Almira Dr Ne
Bremerton, WA 98311-8330

Phone 360-415-5870

Mailing address

5455 Almira Dr Ne
Bremerton, WA 98311-8330

Phone 360-415-5870

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