Individual
SHANNON LEE MUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADCII 18-10-08
Contact information
Practice address
913 GARDEN VALLEY BLVD, ROSEBURG, OR 97471-6523
(541) 440-1000
Mailing address
913 GARDEN VALLEY BLVD, ROSEBURG, OR 97471-6523
(541) 440-1000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18-10-08
OR
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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