Shaun Maher, SUD REG. COUNSELOR
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Hollywood, CA
NPI 1962292227 · NPPES record last updated May 9, 2025
Key facts
- NPI
- 1962292227
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 20853 (CA)
- Practice address
- 6838 W Sunset Blvd
Hollywood, CA 90028-7008 - Phone
- (323) 461-3161
- NPI assigned
- May 9, 2025
- Sex
- Male
- 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 |
|---|---|---|---|
| 20853 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 20853 | CA | Yes |
Addresses
Primary practice location
6838 W Sunset Blvd
Hollywood, CA 90028-7008
Mailing address
6838 W Sunset Blvd
Hollywood, CA 90028-7008
Phone (323) 461-3161
Other providers in Hollywood, CA
- Angela Leonard
- Xinyu Liu
- Living in Transition
- Robert Andrew Lynch
- Lillian Machin
- Alexander Marmureanu
- Stephanie Martinez
- Carlos Mata
- James L McIntosh
- Medical Specialists of Florida PLLC
All providers in Hollywood, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2025. 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.