JOHN SHANNON

BOULDER, CO
NPI1154709574
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-05-18
Last Update Date2015-05-18
Business Address
-- JOHN SHANNON
1333 IRIS AVE
BOULDER, CO 80304-2226
Phone number: 303-443-8500
Mailing Address
-- JOHN SHANNON
1333 IRIS AVE
BOULDER, CO 80304-2226
Phone number: 303-443-8500
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