Individual provider · Type 1 NPI

Shannan Tiphareth

Addiction (Substance Use Disorder) Counselor · Pueblo, CO

NPI number 1871100719 Active

Practice location

3470 Baltimore Ave
Pueblo, CO 81008-1520

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XACB.0008677 (CO)

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

22 other providers at this address

Other addiction (substance use disorder) counselor providers in Pueblo

See all in Pueblo →

About NPI 1871100719

Shannan Tiphareth's National Provider Identifier is 1871100719, issued on Sep 24, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pueblo, CO. The record was last updated on Sep 24, 2020.