MRS. Shannon Kaye Mott, CRADC

NPI #1417185638 in Greenville, Illinois

Provider Information

NPI Number
1417185638
Entity Type
Individual
Name
MRS. Shannon Kaye Mott, CRADC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
CRADC
Enumeration Date
Jun 25, 2009
Last Updated
Jun 25, 2009

Practice Location

Address
503 S PRAIRIE ST
ZIP Code
62246-1847
Phone
(618) 664-1455

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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