Individual
MS. SHANNON RAE CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
19045 STATE HIGHWAY 305 NE STE 190, POULSBO, WA 98370-7312
(360) 876-9430
(360) 598-4114
Mailing address
19045 STATE HIGHWAY 305 NE STE 190, POULSBO, WA 98370-7312
(360) 876-9430
(360) 598-4114
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60724206
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60938713
WA
Other
Enumeration date
10/31/2018
Last updated
04/15/2026
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