Individual provider · Type 1 NPI
Shannon Rose Hackett, SUDRC
Addiction (Substance Use Disorder) Counselor · Sacramento, CA
NPI number
1932079241
Active
Practice location
310 Harris Ave Ste A
Sacramento, CA 95838-3249
Fax (916) 929-7411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 23043 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1932079241
Shannon Rose Hackett, SUDRC's National Provider Identifier is 1932079241, issued on Nov 11, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sacramento, CA. The record was last updated on Nov 11, 2025.