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Shanna Boulden
Addiction (Substance Use Disorder) Counselor in Antioch, California
NPI 1306216692

Shanna Boulden is an Addiction (Substance Use Disorder) Counselor based in Antioch, CA and is specialized in Addiction (Substance Use Disorder). Shanna Boulden practices in Antioch, CA. The NPI Number for Shanna Boulden is 1306216692 and holds a License No. (California).

The current practice location address for Shanna Boulden is 1401 W 4Th St, Antioch, CA and can be reached out via phone at 925-778-3750 and via fax at 925-778-7412.

Location: 1401 W 4Th St, Antioch, CA, 94509-1024
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306216692
Provider Name
Shanna Boulden
Credential
Provider Entity Type
Individual
Gender
Female
Address
1401 W 4Th St, Antioch, CA, 94509-1024
Phone Number
925-778-3750
Fax Number
925-778-7412
Provider Enumeration Date
09/30/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1401 W 4Th St
City
Antioch
State
California
Zip
94509-1024
Phone Number
925-778-3750
Fax Number
925-778-7412
person
Provider Business Mailing Address Details
Address
1401 W 4Th St
City
Antioch
State
California
Zip
94509-1024
Phone Number
925-778-3750
Fax Number
925-778-7412
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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