AMANDA SHANNON

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1063904365

Practice Address

2611 WAYNE AVE
Dayton, OH 45420

Phone: (937) 256-7801

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes -

Frequently Asked Questions

NPI 1063904365 is the National Provider Identifier for AMANDA SHANNON, a Counselor - Addiction (Substance Use Disorder) provider located in Dayton, OH. This NPI was enumerated on June 1, 2018.
AMANDA SHANNON practices at 2611 WAYNE AVE, Dayton, OH 45420.

Quick Facts

NPI
1063904365
Type
Individual
Enumerated
Jun 1, 2018
Last Updated
Jun 1, 2018