Shawna D Choin, CADC I

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Madras, OR

NPI 1508588641 · NPPES record last updated Sep 15, 2022

Key facts

NPI
1508588641
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
19-01-16 (OR)
Practice address
850 SW 4TH St Ste 201
Madras, OR 97741-9629
Phone
(541) 475-4822
Fax
(541) 475-7257
NPI assigned
Sep 15, 2022
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 19-01-16 OR Yes

Addresses

Primary practice location

850 SW 4TH St Ste 201
Madras, OR 97741-9629

Mailing address

850 SW 4TH St Ste 201
Madras, OR 97741-9629
Phone (541) 475-4822

Other providers in Madras, OR

All providers in Madras, OR · Addiction (Substance Use Disorder) Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.