MEDICARE: SHAEANN REESE MA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	60522274	WA

General Provider Information

NPI Number	:	1336573328
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAEANN REESE MA

Provider Business Mailing Address
First Line	:	809 W MAIN ST STE F
Second Line	:
City	:	MONROE
State	:	WA
Zip	:	98272-2172
Country	:	US
Telephone Number	:	360-995-9736
Fax Number	:	360-785-2042

Provider Business Practice Location Address
First Line	:	809 W MAIN ST STE F
Second Line	:
City	:	MONROE
State	:	WA
Zip	:	98272-2172
Country	:	US
Telephone Number	:	360-995-9736
Fax Number	:	360-785-2042

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2013
Last Update Date	:	09/19/2024

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