Individual provider · Type 1 NPI

Shane Micah Burrows

Addiction (Substance Use Disorder) Counselor · Coburg, OR

NPI number 1659047587 Active

Practice location

1 Serenity Ln
Coburg, OR 97408-9350

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 1659047587

Shane Micah Burrows's National Provider Identifier is 1659047587, issued on Aug 20, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Coburg, OR. The record was last updated on Aug 20, 2021.