Individual provider · Type 1 NPI

Shannon Maria Baulne

Addiction (Substance Use Disorder) Counselor · Colville, WA

NPI number 1104261098 Active

Practice location

165 E Hawthorne Ave
Colville, WA 99114-2629

Call (509) 684-4597 Map

Fax (509) 684-5286

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP60213855 (WA)

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

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About NPI 1104261098

Shannon Maria Baulne's National Provider Identifier is 1104261098, issued on May 6, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Colville, WA. The record was last updated on May 6, 2013.