Provider Demographics
NPI:1861806168
Name:HUNTINGTON, SHELLEY A (LMFT)
Entity type:Individual
Prefix:
First Name:SHELLEY
Middle Name:A
Last Name:HUNTINGTON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 GEORGIANA ST
Mailing Address - Street 2:
Mailing Address - City:PORT ANGELES
Mailing Address - State:WA
Mailing Address - Zip Code:98362-3912
Mailing Address - Country:US
Mailing Address - Phone:360-797-3458
Mailing Address - Fax:360-504-3984
Practice Address - Street 1:908 GEORGIANA ST
Practice Address - Street 2:
Practice Address - City:PORT ANGELES
Practice Address - State:WA
Practice Address - Zip Code:98362-3912
Practice Address - Country:US
Practice Address - Phone:360-797-3458
Practice Address - Fax:360-504-3984
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-13
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF60999398106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist