Individual provider · Type 1 NPI

Susan Kay Shannon, CDP

Addiction (Substance Use Disorder) Counselor · Tacoma, WA

NPI number 1083172613 Active

Practice location

3629 S D St
Tacoma, WA 98418-6813

Other practice locations

  • 9236 Renton Ave S, Seattle, WA 98118-5322 · (206) 722-7152
  • 9236 Renton Ave S, Seattle, WA 98118-5322 · (206) 722-7152

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 1083172613

Susan Kay Shannon, CDP's National Provider Identifier is 1083172613, issued on Mar 2, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tacoma, WA. The record was last updated on Sep 24, 2019.