Individual provider · Type 1 NPI

Shannon Newsome

Addiction (Substance Use Disorder) Counselor · Ashtabula, OH

NPI number 1467132811 Active

Practice location

2801 C Ct
Ashtabula, OH 44004-4577

Fax (440) 998-6489

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.188752 (OH)
Case Manager/Care Coordinator 171M00000XNone listed

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About NPI 1467132811

Shannon Newsome's National Provider Identifier is 1467132811, issued on Jul 20, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ashtabula, OH. The record was last updated on Jun 7, 2024.