Individual provider · Type 1 NPI
Annette Shaw, SUD COUNSELOR LL
Addiction (Substance Use Disorder) Counselor · Oakland, CA
NPI number
1972752053
Active
Practice location
1411 E 31st St
Oakland, CA 94602-1018
Mailing address
1340 Arnold Dr Ste 200
Martinez, CA 94553-4189
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 13808 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1972752053
Annette Shaw, SUD COUNSELOR LL's National Provider Identifier is 1972752053, issued on Sep 15, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oakland, CA. The record was last updated on Oct 22, 2024.