Individual provider · Type 1 NPI

Shana Michelle Ferrara, LCDC

Addiction (Substance Use Disorder) Counselor · Tyler, TX

NPI number 1548883135 Active

Practice location

1510 S Vine Ave
Tyler, TX 75701-2826

Mailing address

182 County Road 1331
Rusk, TX 75785-3431

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X11487 (TX)

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

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About NPI 1548883135

Shana Michelle Ferrara, LCDC's National Provider Identifier is 1548883135, issued on May 19, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tyler, TX. The record was last updated on May 19, 2020.