Provider Demographics
NPI:1437032273
Name:MCKAMEY, SEAN DAVID (M COUN)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:DAVID
Last Name:MCKAMEY
Suffix:
Gender:M
Credentials:M COUN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 ELLINOR AVE
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:WA
Mailing Address - Zip Code:98584-3211
Mailing Address - Country:US
Mailing Address - Phone:253-318-8706
Mailing Address - Fax:
Practice Address - Street 1:514 ELLINOR AVE
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:WA
Practice Address - Zip Code:98584-3211
Practice Address - Country:US
Practice Address - Phone:253-318-8706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60792090101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health