Individual provider · Type 1 NPI

Shannon Stephenson

Addiction (Substance Use Disorder) Counselor · Albuquerque, NM

NPI number 1508538562 Active

Practice location

2900 Louisiana Blvd NE Ste A2
Albuquerque, NM 87110-3550

Fax (505) 581-0002

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCTB-2023-0286 (NM)
Social Worker 104100000XS.2614008 (OH)
Social Worker 104100000XSWB-2026-0789 (NM)

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

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About NPI 1508538562

Shannon Stephenson's National Provider Identifier is 1508538562, issued on Sep 29, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Albuquerque, NM. The record was last updated on Sep 29, 2026.