Individual provider · Type 1 NPI

Susan Louise Shanks, CDCA

Addiction (Substance Use Disorder) Counselor · Cincinnati, OH

NPI number 1619330743 Active

Practice location

311 Martin Luther King Dr E
Cincinnati, OH 45219-2581

Fax (513) 332-0367

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X140533 (OH)

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

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About NPI 1619330743

Susan Louise Shanks, CDCA's National Provider Identifier is 1619330743, issued on Apr 5, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cincinnati, OH. The record was last updated on Apr 5, 2016.