Individual
SHAWNA A VALADEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-R
Contact information
Practice address
109 N.E. MANZANITA AVENUE, GRANTS PASS, OR 97526-1400
(541) 479-8847
(541) 471-2679
Mailing address
109 N.E. MANZANITA AVENUE, GRANTS PASS, OR 97526-1400
(541) 479-8847
(541) 471-2679
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-19-612
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T-19-612
MHACBO
OR
Enumeration date
01/03/2020
Last updated
01/03/2020
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