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

Shannon Rose Hackett, SUDRC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1932079241

Shannon Rose Hackett, SUDRC is an Addiction (Substance Use Disorder) Counselor in Sacramento, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
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Practice location Address checks out

310 Harris Ave Ste A
Sacramento, CA 95838-3249
Phone: (916) 649-6793
Fax: (916) 929-7411
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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 23043 (CA)

Record details

NPI number1932079241
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDRC
Sole proprietorYes
NPI enumeratedNovember 11, 2025
Last updated in NPPESNovember 11, 2025
Certification dateNovember 11, 2025

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