Individual
SHANNON CONRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4132 SHEARWATER ST, LAKELAND, FL 33811-2693
(863) 274-2399
Mailing address
4132 SHEARWATER ST, LAKELAND, FL 33811-2693
(863) 274-2399
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MCAP.0101209
FL
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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