Shannon Householder, CDCA

NPI #1538823240 in Chesapeake, Ohio

Provider Information

NPI Number: 1538823240
Entity Type: Individual
Name: Shannon Householder, CDCA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: CDCA
Enumeration Date: Oct 28, 2021
Last Updated: Oct 28, 2021

Practice Location

Address: 103 2ND AVE
City: Chesapeake
State: Ohio
ZIP Code: 45619-1134
Phone: (740) 451-0342

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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