Shannon Denise Reilly, CAS

NPI #1891937306 in Pollock Pines, California

Provider Information

NPI Number
1891937306
Entity Type
Individual
Name
Shannon Denise Reilly, CAS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Substance Abuse Rehabilitation Facility
Credential
CAS
Enumeration Date
Mar 30, 2009
Last Updated
Mar 30, 2009

Practice Location

Address
5494 PONY EXPRESS TRAIL
ZIP Code
95726
Phone
(530) 644-3758

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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