Individual provider · Type 1 NPI

Shannon Bradburn

Addiction (Substance Use Disorder) Counselor · Yakima, WA

NPI number 1679958268 Active

Practice location

402 S 4th Ave
Yakima, WA 98902

Call (509) 575-4084 Map

Mailing address

PO Box 959
Yakima, WA 98907-0959

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1679958268

Shannon Bradburn's National Provider Identifier is 1679958268, issued on Jul 23, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Yakima, WA. The record was last updated on Aug 20, 2018.