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Shannon P Lopez, SUDPT
Addiction (Substance Use Disorder) Counselor in Chehalis, Washington
NPI 1225714082

Shannon P Lopez is an Addiction (Substance Use Disorder) Counselor based in Chehalis, WA and is specialized in Addiction (Substance Use Disorder). Shannon P Lopez practices in Chehalis, WA and has the professional credentials of SUDPT. The NPI Number for Shannon P Lopez is 1225714082 and holds a License No. CO61367990 (Washington).

The current practice location address for Shannon P Lopez is 500 Se Washington Ave, Chehalis, WA and can be reached out via phone at 360-748-4776.

Location: 500 Se Washington Ave, Chehalis, WA, 98532-3058
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225714082
Provider Name
Shannon P Lopez
Credential
SUDPT
Provider Entity Type
Individual
Gender
Female
Address
500 Se Washington Ave, Chehalis, WA, 98532-3058
Phone Number
360-748-4776
Fax Number
Provider Enumeration Date
06/26/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
500 Se Washington Ave
City
Chehalis
State
Washington
Zip
98532-3058
Phone Number
360-748-4776
Fax Number
person
Provider Business Mailing Address Details
Address
500 Se Washington Ave
City
Chehalis
State
Washington
Zip
98532-3058
Phone Number
360-748-4776
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CO61367990 (Washington)
Definition
Definition to come...
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