Individual
ANNETTE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUD COUNSELOR LL
Contact information
Practice address
1411 E 31ST ST, OAKLAND, CA 94602-1018
(510) 437-4747
Mailing address
1340 ARNOLD DR STE 200, MARTINEZ, CA 94553-4189
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13808
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
09/15/2008
Last updated
10/22/2024
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