Individual provider · Type 1 NPI

Shannon Simon

Addiction (Substance Use Disorder) Counselor · Opelousas, LA

NPI number 1437794583 Active · reactivated Feb 24, 2022

Practice location

209 N Main St
Opelousas, LA 70570-6256

Mailing address

301 W Martin Luther King Dr
Church Point, LA 70525-2506

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLAC-5164 (LA)

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

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About NPI 1437794583

Shannon Simon's National Provider Identifier is 1437794583, issued on Nov 13, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Opelousas, LA. The record was last updated on Jun 19, 2024.