Individual
ANN MARIE SHODDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AAC,CPC,CDPT,BAE
Contact information
Practice address
1302 COMMERCE AVE, LONGVIEW, WA 98632-3096
(360) 423-2806
Mailing address
1302 COMMERCE AVE, LONGVIEW, WA 98632-3096
(360) 423-2806
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60823685
WA
101YM0800X
Mental Health Counselor
CG60858312
WA
175T00000X
Peer Specialist
Primary
CG60858312
WA
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
CG60858312
WA
Other
Enumeration date
07/26/2018
Last updated
04/06/2026
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