Shawnna Mae Adams, SUDPT
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Oakville, WA
NPI 1013775394 · NPPES record last updated Mar 11, 2024
Key facts
- NPI
- 1013775394
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CO60838249 (WA)
- Practice address
- 420 Howanut Rd
Oakville, WA 98568-9659 - Phone
- (360) 583-3004
- NPI assigned
- Mar 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO60838249 | WA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CO60838249 | WA | Yes |
Addresses
Primary practice location
420 Howanut Rd
Oakville, WA 98568-9659
Mailing address
420 Howanut Rd
Oakville, WA 98568-9659
Other names
- Shawnna Mae Boer
Other providers in Oakville, WA
- Sabrina Jennifer Ash
- Associated Team TX, Inc
- Lorraine Rayann Barnette
- Cynthia Hope Beck
- Anne Breen Becker
All providers in Oakville, WA · Addiction (Substance Use Disorder) Counselor in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.