Johnson, Shannon Alyse

Johnson, Shannon Alyse is an individual health care provider with primary practice located at 615 5Th St # 300 , Brookings OR 97415-9199. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Other Service Providers / Peer Specialist is her primary health care specialty. Johnson, Shannon Alyse can be contacted via phone (877) 408-8941.

Contact Information

Primary practice address
615 5Th St # 300 Brookings OR 97415-9199
Phone: (877) 408-8941
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Peer Specialist 175T00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1881399483
LBN Legal business name Johnson, Shannon Alyse
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2023
Last updated Mar 11th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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