National Provider Identifier
Shannon Devaughn Smith
Shannon Devaughn Smith is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Lakewood, OH and a listed phone number of (216) 403-8640.
Source: public NPPES record, last updated May 06, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1326669888
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- May 06, 2020
- Last Updated
- May 06, 2020
Practice Location
- 17400 Northwood Ave
- Lakewood, OH 44107-2210
Phone: (216) 403-8640
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Browse Similar Providers
See more providers in the Counselor classification in Lakewood, OH.
Open Counselor providers in Lakewood, OH
Open the exact Addiction (Substance Use Disorder) specialty directory in Lakewood, OH
Biography
Shannon DeVaughn Smith is a Lakewood, Ohio-based addiction counselor whose public provider record lists substance-use disorder counseling as her primary professional focus and connects her practice information with Old School Recovery.
Full Record
- NPI
- 1326669888
- Entity Type
- Individual
- Last Name
- Smith
- First Name
- Shannon
- Middle Name
- Devaughn
- Mailing Street Address
- 17400 Northwood Ave
- Mailing City
- Lakewood
- Mailing State
- OH
- Mailing ZIP Code
- 44107-2210
- Mailing Country
- US
- Mailing Phone
- (216) 403-8640
- Practice Street Address
- 17400 Northwood Ave
- Practice City
- Lakewood
- Practice State
- OH
- Practice ZIP Code
- 44107-2210
- Practice Country
- US
- Practice Phone
- (216) 403-8640
- Enumeration Date
- May 06, 2020
- Last Updated
- May 06, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 06, 2020
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Other Identifiers
- APP-000332976 (OH)