Provider Demographics
NPI:1245021021
Name:MCKEE, SHIRHONDA MONTICE (SUDT)
Entity type:Individual
Prefix:
First Name:SHIRHONDA
Middle Name:MONTICE
Last Name:MCKEE
Suffix:
Gender:F
Credentials:SUDT
Other - Prefix:
Other - First Name:SHIRHONDA
Other - Middle Name:MONTICE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1520 NE RIDDELL RD
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98310-3005
Mailing Address - Country:US
Mailing Address - Phone:360-228-7246
Mailing Address - Fax:
Practice Address - Street 1:1520 NE RIDDELL RD
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98310-3005
Practice Address - Country:US
Practice Address - Phone:360-228-7246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACO61681725101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)