Individual provider · Type 1 NPI

Shawn Deffenbaugh

Addiction (Substance Use Disorder) Counselor · Reseda, CA

NPI number 1285269761 Active

Practice location

7101 Baird Ave
Reseda, CA 91335-4150

Mailing address

2722 Magnolia St
Camarillo, CA 93012-8032

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1322800918 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

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About NPI 1285269761

Shawn Deffenbaugh's National Provider Identifier is 1285269761, issued on Mar 5, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Reseda, CA. The record was last updated on Jul 30, 2026.