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

Individual provider Rehabilitation Practitioner · NPI 1124618442

Shannon Rae Granigan-Demuth is a Rehabilitation Practitioner in Ukiah, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

410 Jones St Ste C1
Ukiah, CA 95482-5491
Phone: (707) 463-0405
Fax: (707) 313-4999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 143116 (CA)
Rehabilitation Practitioner Taxonomy 225400000X
Mental Health Counselor Taxonomy 101YM0800X (CA)

Record details

NPI number1124618442
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 20, 2021
Last updated in NPPESNovember 30, 2023
Certification dateNovember 30, 2023

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