Shanna Detrick

NPI #1124535760 in Pendleton, Oregon

Provider Information

NPI Number: 1124535760
Entity Type: Individual
Name: Shanna Detrick
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jan 4, 2018
Last Updated: Jan 4, 2018

Practice Location

Address: 2575 WESTGATE BLDG 2
City: Pendleton
State: Oregon
ZIP Code: 97801-9613
Phone: (541) 240-8030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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