Individual
MRS. SHANNON DANNA STABLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLMAC
Contact information
Practice address
1601 STATE ST, EMPORIA, KS 66801
(620) 203-0067
Mailing address
420 KENNEDY ST, BURLINGTON, KS 66839-1120
(620) 364-2606
(620) 364-2551
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
650
KS
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/04/2018
Last updated
09/05/2018
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