Shannon Marie Northup
NPI #1598300584 in Shelton, Washington
Provider Information
- NPI Number
- 1598300584
- Entity Type
- Individual
- Name
- Shannon Marie Northup
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Nov 13, 2019
- Last Updated
- Aug 3, 2022
Practice Location
- Address
- 601 W FRANKLIN ST STE A
- City
- Shelton
- State
- Washington
- ZIP Code
- 98584-3518
- Phone
- (360) 462-3016
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Peer Specialist |
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