Individual provider · Type 1 NPI

Shannon Harris, CDCS

Addiction (Substance Use Disorder) Counselor · Wasilla, AK

NPI number 1124672886 Active

Practice location

7010 E Bogard Rd
Wasilla, AK 99654-4711

Mailing address

PO Box 876741
Wasilla, AK 99687-6741

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X4065 (AK)

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

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About NPI 1124672886

Shannon Harris, CDCS's National Provider Identifier is 1124672886, issued on Jul 30, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wasilla, AK. The record was last updated on Jul 30, 2019.