SHANNON MARTIN

SACRAMENTO, CA
NPI1154799773
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence:   R1194201315)
Enumeration Date2015-09-14
Last Update Date2019-10-17
Business Address
SHANNON MARTIN
310 HARRIS AVE SUITE A
SACRAMENTO, CA 95838
Phone number: 916-649-6793
Mailing Address
SHANNON MARTIN
310 HARRIS AVE SUITE A
SACRAMENTO, CA 95838-3249
Phone number: 916-649-6793
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