Individual provider · Type 1 NPI

Shannon Matson, CADC I

Addiction (Substance Use Disorder) Counselor · Madras, OR

NPI number 1194102111 Active

Practice location

125 SW C St
Madras, OR 97741-1458

Call (541) 475-6575 Map

Fax (541) 504-1195

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15-01-07 (OR)

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

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About NPI 1194102111

Shannon Matson, CADC I's National Provider Identifier is 1194102111, issued on Apr 28, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Madras, OR. The record was last updated on Apr 28, 2015.