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Individual

SHANNON J STAGGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
B.A., CAC, MATS, CCB

Contact information

Practice address
38 OLD RIDGEBURY RD, DANBURY, CT 06810-5128
(203) 792-4515
(203) 748-2604
Mailing address
38 OLD RIDGEBURY RD, DANBURY, CT 06810-5128
(203) 792-4515
(203) 748-2604

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
119642
CT
101YA0400X
Addiction (Substance Use Disorder) Counselor
300452
CT
101YA0400X
Addiction (Substance Use Disorder) Counselor
3672
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1174607253
MIDWESTERN CONNECTICUT COUNCIL OF ALCOHOLISM
CT
Enumeration date
07/12/2013
Last updated
07/12/2013
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