Individual provider · Type 1 NPI

Shauna Sprague, SUDP-T

Addiction (Substance Use Disorder) Counselor · Kelso, WA

NPI number 1528656246 Active

Practice location

404 W Main St
Kelso, WA 98626-1118

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCO61105885 (WA)

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

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About NPI 1528656246

Shauna Sprague, SUDP-T's National Provider Identifier is 1528656246, issued on Jan 7, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kelso, WA. The record was last updated on Jan 7, 2021.