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Shannon Blackwell
Addiction (Substance Use Disorder) Counselor in Eugene, Oregon
NPI 1891465290

Shannon Blackwell is an Addiction (Substance Use Disorder) Counselor based in Eugene, OR and is specialized in Addiction (Substance Use Disorder). Shannon Blackwell practices in Eugene, OR. The NPI Number for Shannon Blackwell is 1891465290 and holds a License No. (Oregon).

The current practice location address for Shannon Blackwell is 78 Centennial Loop Ste A, Eugene, OR and can be reached out via phone at 541-393-0777 and via fax at 541-687-9279.

Location: 78 Centennial Loop Ste A, Eugene, OR, 97401-7900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891465290
Provider Name
Shannon Blackwell
Credential
Provider Entity Type
Individual
Gender
Female
Address
78 Centennial Loop Ste A, Eugene, OR, 97401-7900
Phone Number
541-393-0777
Fax Number
541-687-9279
Provider Enumeration Date
09/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
78 Centennial Loop Ste A
City
Eugene
State
Oregon
Zip
97401-7900
Phone Number
541-393-0777
Fax Number
541-687-9279
person
Provider Business Mailing Address Details
Address
78 Centennial Loop Ste A
City
Eugene
State
Oregon
Zip
97401-7900
Phone Number
541-393-0777
Fax Number
541-687-9279
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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