SHANNON CHRISTINE ROOT

BURNS, OR
NPI1184213548
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-01-11
Last Update Date2021-01-11
Business Address
SHANNON CHRISTINE ROOT
348 W ADAMS ST
BURNS, OR 97720-1710
Phone number: 541-573-8376
Mailing Address
SHANNON CHRISTINE ROOT
348 W ADAMS ST
BURNS, OR 97720-1710
Phone number: 541-573-8376