Provider Demographics
NPI:1063213973
Name:HOPPLE, SHAWNA
Entity type:Individual
Prefix:MS
First Name:SHAWNA
Middle Name:
Last Name:HOPPLE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:422 W RIVERSIDE AVE STE 518
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-0302
Mailing Address - Country:US
Mailing Address - Phone:208-690-2911
Mailing Address - Fax:888-418-6008
Practice Address - Street 1:422 W RIVERSIDE AVE STE 518
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-0302
Practice Address - Country:US
Practice Address - Phone:208-690-2911
Practice Address - Fax:888-418-6008
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61647663101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health