Shawna Lee Lalaguna

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Eureka, CA

NPI 1245809763 · NPPES record last updated Jun 19, 2021

Key facts

NPI
1245809763
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
2107 1St St
Eureka, CA 95501-0840
Phone
(707) 273-6395
NPI assigned
Jun 19, 2021
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Treatment Centers, LLC Current
since Jun 27, 2021
Accepting new patients

Locations

2107 1st St
Eureka, CA 95501
Phone (707) 273-6395

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CA Yes

Addresses

Primary practice location

2107 1St St
Eureka, CA 95501-0840

Mailing address

2107 1St St
Eureka, CA 95501-0840
Phone (707) 273-6395

Other identifiers

IdentifierTypeStateIssuer
NEXTOtherMEDICAL
11111OtherMEDI-CAL

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL Aegis

Other providers in Eureka, CA

All providers in Eureka, CA · Addiction (Substance Use Disorder) Counselor in California

Sources for this page

Verify at the official NPI Registry.