SHANNON MARIE ELLIS

SUN VALLEY, CA
NPI1932988995
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-09-27
Last Update Date2023-09-27
Business Address
SHANNON MARIE ELLIS RADT
8140 SUNLAND BLVD
SUN VALLEY, CA 91352-3948
Phone number: 818-582-8832
Mailing Address
SHANNON MARIE ELLIS RADT
16408 SIERRA HWY SPC 21
CANYON COUNTRY, CA 91351-1499
Phone number: 661-388-1674
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