Individual
SHANNYN STOKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LACA, CADAC II
Contact information
Practice address
2680 E MAIN ST STE 314A, PLAINFIELD, IN 46168-2829
(317) 427-3963
Mailing address
331 SYCAMORE RIDGE CT, AVON, IN 46123-7813
(317) 427-3963
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
86900011A
IN
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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