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Individual

MS. SHANNON LYNN MARKOVICH

Active
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Individual

MS. SHANNON LYNN MARKOVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CASAC, LSAT, CADAC,

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
20104
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
3088
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LSAT-15151
AZ

Other

Enumeration date
05/13/2021
Last updated
05/13/2021
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