Individual provider · Type 1 NPI

Shawn Randall Prentice

Addiction (Substance Use Disorder) Counselor · Piketon, OH

NPI number 1043796980 Active

Practice location

15221 State Route 772
Piketon, OH 45661-9062

Mailing address

1553 7th St
Portsmouth, OH 45662-4518

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1043796980

Shawn Randall Prentice's National Provider Identifier is 1043796980, issued on Jul 13, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Piketon, OH. The record was last updated on Jul 13, 2018.