Search › Washington › Addiction (Substance Use Disorder) Counselor
Shane Van Fossen, CO70013818
NPI 1922986850 · on the registry since 2025 · sole proprietor
Practice
- Address
- 305 Pacific Ave S Ste C
Kelso, WA 98626 - Phone
- (360) 356-7761
- Fax
- (360) 219-6843
- Organisation at this address
- Wchs Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 58
Registry record
- Primary taxonomy
- Addiction (Substance Use Disorder) Counselor
101YA0400X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington