Provider Demographics
NPI:1780682005
Name:CADE, SHAWN RICHARD (MA, LPC, MAC)
Entity Type:Individual
Prefix:MR
First Name:SHAWN
Middle Name:RICHARD
Last Name:CADE
Suffix:
Gender:M
Credentials:MA, LPC, MAC
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 219
Mailing Address - Street 2:
Mailing Address - City:BARBOURSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25504-0219
Mailing Address - Country:US
Mailing Address - Phone:304-733-3331
Mailing Address - Fax:304-733-3334
Practice Address - Street 1:689 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:BARBOURSVILLE
Practice Address - State:WV
Practice Address - Zip Code:25504-1315
Practice Address - Country:US
Practice Address - Phone:304-733-3331
Practice Address - Fax:304-733-3334
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1487101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor