SHANNON MARTIN
NPI 1154799773
Counselor - Addiction (Substance Use Disorder) in Sacramento, CA
Active since September 14, 2015
310 HARRIS AVE, SUITE A, SACRAMENTO, CA 95838(916) 649-6793(916) 929-7411 Get Directions Write a Review
About Shannon Martin NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON MARTIN (NPI 1154799773) is an individual addiction (substance use disorder) provider in Sacramento, California, licensed in (R1194201315) and active in the NPI registry since September 2015.
NPPES Registry Identity
NPI1154799773
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameSHANNON MARTIN
Location Address310 HARRIS AVE, SUITE ASacramento, CA 95838
Mailing Address310 Harris Ave, Suite ASacramento, CA 95838-3249 · (916) 649-6793 · Fax (916) 928-7411
Phone(916) 649-6793
Fax(916) 929-7411
Sole ProprietorYes
Enumeration DateSeptember 14, 2015
Last NPPES UpdateOctober 17, 2019
✔ NPI 1154799773 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed · R1194201315
310 HARRIS AVE, Sacramento, CA 95838
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
310 HARRIS AVE, SUITE A
SACRAMENTO, CA 95838
SACRAMENTO, CA 95838
Counselor (Addiction (Substance Use Disorder))
310 HARRIS AVE, SUITE A
SACRAMENTO, CA 95838
SACRAMENTO, CA 95838
Counselor (Addiction (Substance Use Disorder))
310 HARRIS AVE, A
SACRAMENTO, CA 95838
SACRAMENTO, CA 95838
Counselor (Addiction (Substance Use Disorder))
310 HARRIS AVE, SUITE A
SACRAMENTO, CA 95838
SACRAMENTO, CA 95838
Counselor (Addiction (Substance Use Disorder))
310 HARRIS AVE, SUITE A
SACRAMENTO, CA 95838
SACRAMENTO, CA 95838
Counselor (Addiction (Substance Use Disorder))
310 HARRIS AVE, SUITE A
SACRAMENTO, CA 95838
SACRAMENTO, CA 95838
Counselor (Addiction (Substance Use Disorder))
310 HARRIS AVE, STE A
SACRAMENTO, CA 95838
SACRAMENTO, CA 95838
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154799773, enumerated as an "individual" on September 14, 2015.
The provider is located at 310 HARRIS AVE SUITE A SACRAMENTO, CA 95838 and the phone number is (916) 649-6793.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).