Susan Kay Shannon, CDP
Counselor, Addiction (Substance Use Disorder) in Tacoma, WA. Individual provider (NPI-1).
NPI number1083172613
StatusActive
Last updated in NPPESSep 24, 2019
Details
- NPI
- 1083172613
- Entity type
- Individual (NPI-1)
- Name
- Ms. Susan Kay Shannon
- Credential
- CDP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 2, 2019
- Last updated
- Sep 24, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
3629 S D StTacoma, WA 98418-6813
Phone 253-798-6576
Mailing address
3629 S D StTacoma, WA 98418-6813
Phone 253-798-6576
Other practice locations
9236 Renton Ave S
Seattle, WA 98118-5322
Seattle, WA 98118-5322
Phone 206-722-7152 · Fax 206-722-0830
9236 Renton Ave S
Seattle, WA 98118-5322
Seattle, WA 98118-5322
Phone 206-722-7152 · Fax 206-722-0830
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