SHANDRA LIN WYANT
NPI 1912618760
Counselor - Mental Health in Ashland, OR

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since December 12, 2022

1675 ASHLAND ST, ASHLAND, OR 97520(541) 858-8170(541) 858-8167 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Shandra Lin Wyant NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANDRA LIN WYANT (NPI 1912618760) is an individual mental health provider in Ashland, Oregon and active in the NPI registry since December 2022.

NPI1912618760

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameSHANDRA LIN WYANT

Location Address1675 ASHLAND STAshland, OR 97520-2472

Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170 · Fax (541) 858-8167

Fax(541) 858-8167

Sole ProprietorNo

Enumeration DateDecember 12, 2022

Last NPPES UpdateFebruary 28, 2024

NPPES CertifiedFebruary 28, 2024

✔ NPI 1912618760 is a valid, active identifier and passes the ISO check-digit test.

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

1675 ASHLAND ST, Ashland, OR 97520

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community Based Residential Treatment Facility, Mental Illness