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Individual

ANN MARIE SHODDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AAC,CPC,CDPT,BAE

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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