Individual
SHANIKA TESTAMARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CSAC, CRP, CADC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701006620
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710102608
VA
225C00000X
Rehabilitation Counselor
0715005525
VA
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/12/2016
Last updated
05/26/2026
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