Doctor Name: | MS. CAROLE JEAN SHIPLEY |
NPI Number: | 1215107784 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CDP |
License Number: | CP00005959 |
Business Practice Address: | 105 Nw 1st Street Coupeville, WA - 98239 |
Business Phone Number: | 3606824030 |
Business Fax Number: | 3606824105 |
Mailing Address: | Po Box 160, Compass Health COUPEVILLE |
State: | WA |
Postal Code: | 98239 |
Phone Number: | 3606824030 |
Fax Number: | 3606824105 |
NPI Enumeration Date: | 03/11/2008 |
NPI Last Update Date: | 03/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | CP00005959 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |