Individual provider · Type 1 NPI
Shannon Marie Humphrey, CDCA
Addiction (Substance Use Disorder) Counselor · Lorain, OH
NPI number
1407628308
Active
Practice location
2115 W Park Dr
Lorain, OH 44053-1138
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CDCA.184370 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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- Lisa Michelle Cicerrella, LICDCAddiction (Substance Use Disorder) Counselor Lorain, OH NPI 1073644373
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- Jahida Chavez, CDCAAddiction (Substance Use Disorder) Counselor Lorain, OH NPI 1124867650
About NPI 1407628308
Shannon Marie Humphrey, CDCA's National Provider Identifier is 1407628308, issued on Oct 24, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lorain, OH. The record was last updated on Oct 24, 2023.