Individual
MS. SHANNON LYNN MARKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC, LSAT, CADAC,
Contact information
Practice address
2812 N NORWALK STE 103, MESA, AZ 85215-1148
(480) 597-5699
Mailing address
2812 N NORWALK STE 103, MESA, AZ 85215-1148
(480) 597-5699
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
20104
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
3088
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LSAT-15151
AZ
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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