person
Shannon Nicole Verketis, RADT1R1454820122
Addiction (Substance Use Disorder) Counselor in Vallejo, California
NPI 1962159889

Shannon Nicole Verketis is an Addiction (Substance Use Disorder) Counselor based in Vallejo, CA and is specialized in Addiction (Substance Use Disorder). Shannon Nicole Verketis practices in Vallejo, CA and has the professional credentials of RADT1R1454820122. The NPI Number for Shannon Nicole Verketis is 1962159889 and holds a License No. R1454820122 (California).

The current practice location address for Shannon Nicole Verketis is 419 Pennsylvania St, Vallejo, CA and can be reached out via phone at 707-643-2715 and via fax at 707-643-8536.

Location: 419 Pennsylvania St, Vallejo, CA, 94590-6933
person
Provider Profile Details
NPI Number
1962159889
Provider Name
Shannon Nicole Verketis
Credential
RADT1R1454820122
Provider Entity Type
Individual
Gender
Female
Address
419 Pennsylvania St, Vallejo, CA, 94590-6933
Phone Number
707-643-2715
Fax Number
707-643-8536
Provider Enumeration Date
03/10/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
419 Pennsylvania St
City
State
Zip
94590-6933
Phone Number
707-643-2715
Fax Number
707-643-8536
person
Provider Business Mailing Address Details
Address
419 Pennsylvania St
City
State
Zip
94590-6933
Phone Number
707-643-2715
Fax Number
707-643-8536
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R1454820122 (California)
Definition
Definition to come...
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