Shannon Azzalina

NPI #1982394649 in Eaton, Ohio

Provider Information

NPI Number: 1982394649
Entity Type: Individual
Name: Shannon Azzalina
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: May 8, 2023
Last Updated: Nov 29, 2023

Practice Location

Address: 2172A US HIGHWAY 127 N
City: Eaton
State: Ohio
ZIP Code: 45320-9289
Phone: (937) 336-5018

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary
Behavior Technician	106S00000X
Case Manager/Care Coordinator	171M00000X

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