Shawna Marie Higle, CAODC

NPI #1093202897 in Ceres, California

Provider Information

NPI Number: 1093202897
Entity Type: Individual
Name: Shawna Marie Higle, CAODC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician
Credential: CAODC
Enumeration Date: Apr 17, 2018
Last Updated: Apr 18, 2018

Practice Location

Address: 1904 RICHLAND AVE
City: Ceres
State: California
ZIP Code: 95307-4562
Phone: (209) 525-7441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X

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