Individual
SHAWNETTE REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 EXECUTIVE DR STE E, HAMPTON, VA 23666-2582
(800) 805-6989
Mailing address
106 FOUNDERS APT 103, PORTSMOUTH, VA 23707-4589
(757) 292-1014
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0709024824
VA
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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