Individual provider · Type 1 NPI

Shannon Rae Cantrell, SUDP

Addiction (Substance Use Disorder) Counselor · Poulsbo, WA

NPI number 1083181648 Active

Practice location

19045 State Highway 305 NE Ste 190
Poulsbo, WA 98370-7312

Call (360) 876-9430 Map

Fax (360) 598-4114

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP60938713 (WA)

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

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About NPI 1083181648

Shannon Rae Cantrell, SUDP's National Provider Identifier is 1083181648, issued on Oct 31, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Poulsbo, WA. The record was last updated on Apr 15, 2026.