Individual
SHANA VANDERGRIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
1720 4TH ST, GRAHAM, TX 76450-2926
(940) 696-6182
Mailing address
500 W 4TH ST, BRECKENRIDGE, TX 76424-2820
(940) 329-9063
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12494
TX
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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