SHILOH SHANE DALTON

SPOKANE VALLEY, WA
NPI1366051989
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO61151332)
Enumeration Date2020-07-29
Last Update Date2022-09-07
Business Address
SHILOH SHANE DALTON
14819 E MISSION AVE
SPOKANE VALLEY, WA 99216-1960
Phone number: 509-315-9791
Mailing Address
SHILOH SHANE DALTON
628 S COWLEY ST
SPOKANE, WA 99202-1377
Phone number: 509-624-3227