Individual
MS. SHANNON DAWN LOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAS
Contact information
Practice address
2956 NORTH AVE STE 6, GRAND JUNCTION, CO 81504-3919
(970) 275-1649
Mailing address
3152 STRIKER DR, GRAND JUNCTION, CO 81504-4721
(970) 275-1649
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACB.0008112
CO
Other
Enumeration date
04/10/2015
Last updated
12/30/2020
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