Shawn Noland

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

NPI 1285875583 · NPPES record last updated Mar 16, 2009

Key facts

NPI
1285875583
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
12490 Alta Mesa Rd
Herald, CA 95638-8409
Phone
(209) 748-3470
Fax
(209) 748-5861
NPI assigned
Mar 16, 2009
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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
River City Recovery Center Past Accepting new patients
River City Recovery Center, Inc Past Accepting new patients

Specialties & licenses

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

Addresses

Primary practice location

12490 Alta Mesa Rd
Herald, CA 95638-8409

Mailing address

500 22ND St
Sacramento, CA 95816-3503
Phone (916) 442-3979

Other providers in Herald, CA

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

Sources for this page

Verify at the official NPI Registry.