Individual
SHANNON C LASEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
1309 BRIDGEVILLE HWY, SEAFORD, DE 19973-1616
(302) 629-2300
(302) 629-2305
Mailing address
2429 MILLINGTON RD, MILLINGTON, MD 21651-1423
(443) 825-8275
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1897
DE
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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