Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Annette Shaw, SUDCOUNSELORLL

Individual provider Counselor · NPI 1972752053

Annette Shaw, SUDCOUNSELORLL is a Counselor in Oakland, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2008
Specialties on file
3
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Practice location Address checks out

1411 E 31st St
Oakland, CA 94602-1018
Phone: (510) 437-4747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 13808 (CA)
Counselor Taxonomy 101Y00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1972752053
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDCOUNSELORLL
Sole proprietorYes
NPI enumeratedSeptember 15, 2008
Last updated in NPPESOctober 22, 2024
Certification dateOctober 22, 2024

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