Individual
SHANNON BERNICE VANDORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
18 STAGECOACH RD, CAPE MAY COURT HOUSE, NJ 08210-2024
(609) 305-0547
Mailing address
1076 ROUTE 47 S, RIO GRANDE, NJ 08242-1608
(609) 741-6363
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37CA00182200
NJ
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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