Provider Demographics
NPI:1093053365
Name:HARRINGTON, SHEA S (LMHCA)
Entity Type:Individual
Prefix:MR
First Name:SHEA
Middle Name:S
Last Name:HARRINGTON
Suffix:
Gender:M
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 536
Mailing Address - Street 2:
Mailing Address - City:QUILCENE
Mailing Address - State:WA
Mailing Address - Zip Code:98376-0536
Mailing Address - Country:US
Mailing Address - Phone:360-765-3099
Mailing Address - Fax:
Practice Address - Street 1:13 WILDWOOD RD
Practice Address - Street 2:
Practice Address - City:QUILCENE
Practice Address - State:WA
Practice Address - Zip Code:98376
Practice Address - Country:US
Practice Address - Phone:360-765-3099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-22
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC 60326896101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health