Individual provider · Type 1 NPI

Shanna Detrick

Counselor · Pendleton, OR

NPI number 1124535760 Active

Practice location

2575 Westgate Bldg 2
Pendleton, OR 97801-9613

Mailing address

702 Sunset Dr
Ontario, OR 97914-3121

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1124535760

Shanna Detrick's National Provider Identifier is 1124535760, issued on Jan 4, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Pendleton, OR. The record was last updated on Jan 4, 2018.