Individual
SHANNUN KAY SANTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM
Contact information
Practice address
506 FERRY ST SW, ALBANY, OR 97321-2322
(541) 990-9143
Mailing address
33790 MOUNT PLEASANT RD, LEBANON, OR 97355-9498
(541) 981-1866
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24-CRM-3281
OR
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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