Individual provider · Type 1 NPI

Shannon L. Bupp, LCDC

Addiction (Substance Use Disorder) Counselor · Austin, TX

NPI number 1528894755 Active

Practice location

305 Ferguson Dr
Austin, TX 78753-3006

Call (512) 339-9757 Map

Mailing address

8444 N 90th St Ste 100
Scottsdale, AZ 85258-4437

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLCDC-68127 (TX)

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

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About NPI 1528894755

Shannon L. Bupp, LCDC's National Provider Identifier is 1528894755, issued on Sep 12, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Austin, TX. The record was last updated on Sep 12, 2024.