Individual provider · Type 1 NPI

Shantraille Latasha Lefort

Addiction (Substance Use Disorder) Counselor · Sacramento, CA

NPI number 1669787388 Active

Practice location

4441 Auburn Blvd Ste E
Sacramento, CA 95841-4139

Call (916) 473-5764 Map

Mailing address

4441 Auburn Blvd, Suite E
Sacramento, CA 95841

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 1669787388

Shantraille Latasha Lefort's National Provider Identifier is 1669787388, issued on Aug 18, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sacramento, CA. The record was last updated on Aug 18, 2010.