Individual
SHANA SUSAN AXELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8212 S MARCH POINT RD, ANACORTES, WA 98221-8684
(360) 588-2800
(360) 588-2808
Mailing address
8212 S MARCH POINT RD, ANACORTES, WA 98221-8684
(360) 588-2800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61345111
WA
Other
Enumeration date
10/28/2020
Last updated
02/13/2023
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