Provider Demographics
NPI:1093974560
Name:ADAMS, SHAWN (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:SHAWN
Middle Name:
Last Name:ADAMS
Suffix:
Gender:M
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1812 E MADISON ST STE 202
Mailing Address - Street 2:BIRCH COUNSELING
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-2874
Mailing Address - Country:US
Mailing Address - Phone:206-914-1962
Mailing Address - Fax:
Practice Address - Street 1:1812 E MADISON ST STE 202
Practice Address - Street 2:BIRCH COUNSELING
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-2874
Practice Address - Country:US
Practice Address - Phone:206-914-1962
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60177969101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health