Individual provider · Type 1 NPI

Shannon Lee Davis, SUDCC

Addiction (Substance Use Disorder) Counselor · Victorville, CA

NPI number 1487377784 Active

Practice location

16248 Victor St
Victorville, CA 92395-3934

Call (760) 243-7151 Map

Mailing address

1000 Windy Pass Spc 154
Barstow, CA 92311-5476

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1487377784

Shannon Lee Davis, SUDCC's National Provider Identifier is 1487377784, issued on Sep 21, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Victorville, CA. The record was last updated on Jun 30, 2025.