Individual provider · Type 1 NPI

Shannon Conrady

Addiction (Substance Use Disorder) Counselor · Lakeland, FL

NPI number 1093516585 Active

Practice location

4132 Shearwater St
Lakeland, FL 33811-2693

Call (863) 274-2399 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XMCAP.0101209 (FL)

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

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About NPI 1093516585

Shannon Conrady's National Provider Identifier is 1093516585, issued on Mar 21, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lakeland, FL. The record was last updated on Mar 21, 2025.