Individual provider · Type 1 NPI

Shannon Marie Klescewski

Addiction (Substance Use Disorder) Counselor · Nome, AK

NPI number 1649892092 Active

Practice location

607 Division St.
Nome, AK 99762

Fax (907) 443-5915

Mailing address

PO Box 966
Nome, AK 99762-0966

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1649892092

Shannon Marie Klescewski's National Provider Identifier is 1649892092, issued on May 8, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Nome, AK. The record was last updated on May 8, 2020.