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Shannon Agnew
Addiction (Substance Use Disorder) Counselor in Modesto, California
NPI 1457605859

Shannon Agnew is an Addiction (Substance Use Disorder) Counselor based in Modesto, CA and is specialized in Addiction (Substance Use Disorder). Shannon Agnew practices in Modesto, CA. The NPI Number for Shannon Agnew is 1457605859 and holds a License No. (California).

The current practice location address for Shannon Agnew is 1235 Mchenry Ave, Modesto, CA and can be reached out via phone at 209-527-4597.

Location: 1235 Mchenry Ave, Modesto, CA, 95350-5370
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457605859
Provider Name
Shannon Agnew
Credential
Provider Entity Type
Individual
Gender
Female
Address
1235 Mchenry Ave, Modesto, CA, 95350-5370
Phone Number
209-527-4597
Fax Number
Provider Enumeration Date
11/07/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1235 Mchenry Ave
City
Modesto
State
California
Zip
95350-5370
Phone Number
209-527-4597
Fax Number
person
Provider Business Mailing Address Details
Address
1235 Mchenry Ave
City
Modesto
State
California
Zip
95350-5370
Phone Number
209-527-4597
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.
()
Definition
Definition to come...
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