Individual
SHON RACHELLE MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW, MS
Contact information
Practice address
1826 E PLATTE AVE, SUITE 223, COLORADO SPRINGS, CO 80909-5755
(719) 551-0983
(866) 227-5592
Mailing address
1826 E PLATTE AVE, SUITE 223, COLORADO SPRINGS, CO 80909-5755
(719) 660-2089
(866) 227-5592
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1537-03
CO
251S00000X
Community/Behavioral Health Agency
Primary
1537-03
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60582073
—
CO
Enumeration date
07/12/2016
Last updated
09/15/2017
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