Individual provider · Type 1 NPI

Shannon Edmiston, MSW

Addiction (Substance Use Disorder) Counselor · Sacramento, CA

NPI number 1386046688 Active

Practice location

4049 Miller Way
Sacramento, CA 95817-1332

Call (916) 451-9312 Map

Other practice locations

  • 1400 A St, Sacramento, CA 95811-0612 · (916) 440-1500

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1250850517 (CA)

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

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About NPI 1386046688

Shannon Edmiston, MSW's National Provider Identifier is 1386046688, issued on Sep 18, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sacramento, CA. The record was last updated on Nov 13, 2020.