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SHANNON LEE DAVIS SUDCC
NPI 1487377784
Counselor - Addiction (Substance Use Disorder) in Victorville, CA

Active since September 21, 2022
16248 VICTOR ST, VICTORVILLE, CA 92395(760) 243-7151 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2025, Sep 21, 2022 (2 updates tracked since 2022).

About Shannon Lee Davis Sudcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON LEE DAVIS SUDCC (NPI 1487377784) is an individual addiction (substance use disorder) provider in Victorville, California and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1487377784
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHANNON LEE DAVISCredential: SUDCC
Location Address16248 VICTOR STVictorville, CA 92395-3934
Mailing Address1000 Windy Pass Spc 154Barstow, CA 92311-5476 · (442) 455-8822
Phone(760) 243-7151
Sole ProprietorNo
Enumeration DateSeptember 21, 2022
Last NPPES UpdateJune 30, 20252 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1487377784 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
16248 VICTOR ST, Victorville, CA 92395
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Other Names 1

Other Name (5)Shannon Black Sudrc

Other Identifiers 1

OtherB3727585CA · Substance Use Disorder

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.

VICTORIA LOUISE STARK R1488461122
Counselor (Addiction (Substance Use Disorder))
16248 VICTOR ST
VICTORVILLE, CA 92395
San Bernardino County (760) 243-7151
CARRI LYNN O'CONNELL
Counselor (Addiction (Substance Use Disorder))
16248 VICTOR ST
VICTORVILLE, CA 92395
San Bernardino County (760) 243-7151
MS. PATSY JANE WINDERWEEDLE LMFT
Marriage & Family Therapist
16248 VICTOR ST
VICTORVILLE, CA 92395
San Bernardino County (760) 243-7151
JOHN MUSQUIZ
Counselor (Addiction (Substance Use Disorder))
16248 VICTOR ST
VICTORVILLE, CA 92395
San Bernardino County (760) 243-7151
SHANNON N BAIRD
Social Worker (Clinical)
16248 VICTOR ST
VICTORVILLE, CA 92395
San Bernardino County (760) 243-7151
HIGH DESERT CHILD, ADOLESCENT AND FAMILY SERVICES CENTER , INC.
Community/Behavioral Health
16248 VICTOR ST
VICTORVILLE, CA 92395
San Bernardino County (760) 243-7151
LORRAINE BRITTON
Counselor (Addiction (Substance Use Disorder))
16248 VICTOR ST
VICTORVILLE, CA 92395
San Bernardino County (760) 243-7151
FRANCISCO ANGEL DONAN RADTI
Counselor (Addiction (Substance Use Disorder))
16248 VICTOR ST
VICTORVILLE, CA 92395
San Bernardino County (760) 243-7151

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Davis's NPI number?

The NPI number for Shannon Davis is 1487377784. It was assigned to this individual provider in the NPPES registry on September 21, 2022. The provider is also known as Shannon Black Sudrc.

Where is Shannon Davis located?

Shannon Davis practices at 16248 Victor St, Victorville, CA 92395. The listed phone number is (760) 243-7151.

What is Shannon Davis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shannon Davis was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.