Individual provider · Type 1 NPI

Shannon Marie Haskin

Addiction (Substance Use Disorder) Counselor · Modesto, CA

NPI number 1992955330 Active

Practice location

111 Modesto Ave
Modesto, CA 95354-0414

Call (209) 527-4597 Map

Fax (209) 527-4599

Specialties and licenses

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

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

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About NPI 1992955330

Shannon Marie Haskin's National Provider Identifier is 1992955330, issued on Sep 23, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Modesto, CA. The record was last updated on Sep 23, 2008.