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Suzanna Shepherd
Addiction (Substance Use Disorder) Counselor in Bothell, Washington
NPI 1780036004

Suzanna Shepherd is an Addiction (Substance Use Disorder) Counselor based in Bothell, WA and is specialized in Addiction (Substance Use Disorder). Suzanna Shepherd practices in Bothell, WA. The NPI Number for Suzanna Shepherd is 1780036004 and holds a License No. 60656742 (Washington).

The current practice location address for Suzanna Shepherd is 22026 20Th Ave Se Ste 101, Bothell, WA and can be reached out via phone at 425-672-7293 and via fax at 425-329-4640.

Location: 22026 20Th Ave Se Ste 101, Bothell, WA, 98021-4449
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780036004
Provider Name
Suzanna Shepherd
Credential
Provider Entity Type
Individual
Gender
Female
Address
22026 20Th Ave Se Ste 101, Bothell, WA, 98021-4449
Phone Number
425-672-7293
Fax Number
425-329-4640
Provider Enumeration Date
07/11/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CO60656742 05 WA
institution
Provider Business Practice Location Address Details
Address
22026 20Th Ave Se Ste 101
City
Bothell
State
Washington
Zip
98021-4449
Phone Number
425-672-7293
Fax Number
425-329-4640
person
Provider Business Mailing Address Details
Address
22026 20Th Ave Se Ste 101
City
Bothell
State
Washington
Zip
98021-4449
Phone Number
425-672-7293
Fax Number
425-329-4640
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CO60656742 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
60656742 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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