Individual
SHAWNNA MAE ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
420 HOWANUT RD, OAKVILLE, WA 98568-9659
(360) 583-3004
Mailing address
420 HOWANUT RD, OAKVILLE, WA 98568-9659
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60838249
WA
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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