Provider Demographics
NPI:1356775050
Name:ALLOWAY, SHAUNA ANN (LCSW)
Entity type:Individual
Prefix:
First Name:SHAUNA
Middle Name:ANN
Last Name:ALLOWAY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SHAUNA
Other - Middle Name:
Other - Last Name:FRIES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:945 COLUMBIA ST NE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-7205
Mailing Address - Country:US
Mailing Address - Phone:503-707-1950
Mailing Address - Fax:
Practice Address - Street 1:945 COLUMBIA ST NE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-7205
Practice Address - Country:US
Practice Address - Phone:503-707-1950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-29
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health