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SHANNON NICOLE VERKETIS RADT1 R1454820122
NPI 1962159889
Counselor - Addiction (Substance Use Disorder) in Vallejo, CA

Active since March 10, 2022
419 PENNSYLVANIA ST, VALLEJO, CA 94590(707) 643-2715(707) 643-8536 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Nicole Verketis Radt1 R1454820122 NPPES

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

SHANNON NICOLE VERKETIS RADT1 R1454820122 (NPI 1962159889) is an individual addiction (substance use disorder) provider in Vallejo, California, licensed in California (R1454820122) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1962159889
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHANNON NICOLE VERKETISCredential: RADT1 R1454820122
Location Address419 PENNSYLVANIA STVallejo, CA 94590-6933
Mailing Address419 Pennsylvania StVallejo, CA 94590-6933 · (707) 643-2715 · Fax (707) 643-8536
Phone(707) 643-2715
Fax(707) 643-8536
Sole ProprietorYes
Enumeration DateMarch 10, 2022
NPPES CertifiedMarch 10, 2022
✔ NPI 1962159889 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 in CA · R1454820122
419 PENNSYLVANIA ST, Vallejo, CA 94590
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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFERY BARNES
Counselor (Addiction (Substance Use Disorder))
419 PENNSYLVANIA ST
VALLEJO, CA 94590
Solano County (707) 643-2715
PATRICIA A BANKS
Counselor (Addiction (Substance Use Disorder))
419 PENNSYLVANIA ST
VALLEJO, CA 94590
Solano County (707) 643-2715
JOSEPH LOUIS FERDIN
Counselor (Addiction (Substance Use Disorder))
419 PENNSYLVANIA ST
VALLEJO, CA 94590
Solano County (707) 643-2715
BI-BETT
Substance Abuse Rehabilitation Facility
419 PENNSYLVANIA ST
VALLEJO, CA 94590
Solano County (707) 643-2715
SOUTHERN SOLANO ALCOHOL COUNCIL
Community/Behavioral Health
419 PENNSYLVANIA ST
VALLEJO, CA 94590
Solano County (707) 643-2715
MARK ANTHONY GLEASON
Counselor (Addiction (Substance Use Disorder))
419 PENNSYLVANIA ST
VALLEJO, CA 94590
Solano County (707) 634-2715
JOCELYNN N VERKETIS
Counselor (Addiction (Substance Use Disorder))
419 PENNSYLVANIA ST
VALLEJO, CA 94590
Solano County (707) 643-2715
JOHN GLASER SUDRC I
Counselor (Addiction (Substance Use Disorder))
419 PENNSYLVANIA ST
VALLEJO, CA 94590
Solano County (707) 643-2715

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 Verketis's NPI number?

The NPI number for Shannon Verketis is 1962159889. It was assigned to this individual provider in the NPPES registry on March 10, 2022.

Where is Shannon Verketis located?

Shannon Verketis practices at 419 Pennsylvania St, Vallejo, CA 94590. The listed phone number is (707) 643-2715.

What is Shannon Verketis'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 Verketis was last updated on March 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.