Individual
SHANNON DEXTER PETROVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LISAC
Contact information
Practice address
5855 N KOLB RD UNIT 4208, TUCSON, AZ 85750-0991
(520) 909-4740
Mailing address
5855 N KOLB RD UNIT 4208, TUCSON, AZ 85750-0991
(520) 909-4740
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-1365
AZ
1041C0700X
Clinical Social Worker
Primary
LCSW-4024
AZ
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us