Provider Demographics
NPI:1447431390
Name:SHUMATE, JANA R (BA CASE MANAGER)
Entity Type:Individual
Prefix:MS
First Name:JANA
Middle Name:R
Last Name:SHUMATE
Suffix:
Gender:F
Credentials:BA CASE MANAGER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2139 VAN GIESEN
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99354
Mailing Address - Country:US
Mailing Address - Phone:509-946-4645
Mailing Address - Fax:509-943-2068
Practice Address - Street 1:2139 VAN GIESEN
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99354
Practice Address - Country:US
Practice Address - Phone:509-946-4645
Practice Address - Fax:509-943-2068
Is Sole Proprietor?:No
Enumeration Date:2007-11-20
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health