Individual
SUSAN DIANE SANNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
235 53RD STREET, SHELTON, WA 98584
(360) 426-0890
Mailing address
235 53RD STREET, SHELTON, WA 98584
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
61234121
WA
Other
Enumeration date
10/30/2019
Last updated
12/04/2025
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