Individual provider · Type 1 NPI

Shanican S. Pender, CDCA

Addiction (Substance Use Disorder) Counselor · Mansfield, OH

NPI number 1740772987 Active

Practice location

680 Park Ave W
Mansfield, OH 44906-3706

Call (419) 528-5993 Map

Fax (567) 560-5483

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.163643 (OH)

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

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About NPI 1740772987

Shanican S. Pender, CDCA's National Provider Identifier is 1740772987, issued on Jun 4, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mansfield, OH. The record was last updated on Jun 4, 2018.