Northup, Shannon Marie

Northup, Shannon Marie is an individual health care provider with primary practice located at 601 W Franklin St Ste A , Shelton WA 98584-3518. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Northup, Shannon Marie can be contacted via phone (360) 462-3016.

Contact Information

Primary practice address
601 W Franklin St Ste A Shelton WA 98584-3518
Phone: (360) 462-3016
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1598300584
LBN Legal business name Northup, Shannon Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2019
Last updated Aug 3rd, 2022 - about 3 years ago

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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