Individual provider · Type 1 NPI

Shannon Crystal Massengale

Addiction (Substance Use Disorder) Counselor · Taylorsville, UT

NPI number 1801727888 Active

Practice location

4600 S Redwood Rd
Taylorsville, UT 84123-3145

Call (801) 957-4111 Map

Mailing address

8727 S 120 E
Sandy, UT 84070-1525

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

2 other providers at this address

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About NPI 1801727888

Shannon Crystal Massengale's National Provider Identifier is 1801727888, issued on May 27, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Taylorsville, UT. The record was last updated on May 27, 2026.