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Shannon Marie Northup
Peer Specialist in Shelton, Washington
NPI 1598300584

Shannon Marie Northup is a Peer Specialist based in Shelton, WA. Shannon Marie Northup practices in Shelton, WA. The NPI Number for Shannon Marie Northup is 1598300584 and holds a License No. (Washington).

The current practice location address for Shannon Marie Northup is 601 W Franklin St Ste A, Shelton, WA and can be reached out via phone at 360-462-3016.

Location: 601 W Franklin St Ste A, Shelton, WA, 98584-3518
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598300584
Provider Name
Shannon Marie Northup
Credential
Provider Entity Type
Individual
Gender
Female
Address
601 W Franklin St Ste A, Shelton, WA, 98584-3518
Phone Number
360-462-3016
Fax Number
Provider Enumeration Date
11/13/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
601 W Franklin St Ste A
City
Shelton
State
Washington
Zip
98584-3518
Phone Number
360-462-3016
Fax Number
person
Provider Business Mailing Address Details
Address
601 W Franklin St Ste A
City
Shelton
State
Washington
Zip
98584-3518
Phone Number
360-462-3016
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...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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