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

Shannon Marie Humphrey, CDCA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1407628308

Shannon Marie Humphrey, CDCA is an Addiction (Substance Use Disorder) Counselor in Lorain, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2023

Practice location Address checks out

2115 W Park Dr
Lorain, OH 44053-1138
Phone: (440) 989-4900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDCA.184370 (OH)

Record details

NPI number1407628308
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDCA
Sole proprietorYes
NPI enumeratedOctober 24, 2023
Last updated in NPPESOctober 24, 2023
Certification dateOctober 24, 2023

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