Individual
SHANNON CHRISTINE ROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
348 W ADAMS ST, BURNS, OR 97720-1710
(541) 573-8376
(541) 573-8378
Mailing address
348 W ADAMS ST, BURNS, OR 97720-1710
(541) 573-8376
(541) 573-8378
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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