Individual provider · Type 1 NPI

Shannon Danile Wight, CAS-CADC

Rehabilitation Practitioner · Merced, CA

NPI number 1215222823 Active

Practice location

301 E 13th St
Merced, CA 95341-6211

Fax (209) 385-3174

Mailing address

PO Box 2087
Merced, CA 95344-0087

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X02-090691 (CA)
Rehabilitation Practitioner Primary 225400000XC13051214 (CA)

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1215222823

Shannon Danile Wight, CAS-CADC's National Provider Identifier is 1215222823, issued on Jun 10, 2011. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Merced, CA. The record was last updated on Jun 27, 2025.