Individual provider · Type 1 NPI

Suzanna Shepherd

Addiction (Substance Use Disorder) Counselor · Bothell, WA

NPI number 1780036004 Active

Practice location

22026 20th Ave SE Ste 101, Canyon Park Treatment Solutions
Bothell, WA 98021-4449

Call (425) 672-7293 Map

Fax (425) 329-4640

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000X60656742 (WA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCO60656742 (WA)

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

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About NPI 1780036004

Suzanna Shepherd's National Provider Identifier is 1780036004, issued on Jul 11, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bothell, WA. The record was last updated on Apr 4, 2017.