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

Shannon Wooderson

Individual provider Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1295963809

Shannon Wooderson is an Emotionally Disturbed Childrens' Residential Treatment Facility in Grass Valley, California. Practices as a sole proprietor. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

714 W Main St
Grass Valley, CA 95945-6410
Phone: (530) 477-9800
Fax: (530) 477-9803
Show map & directions

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

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X

Record details

NPI number1295963809
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 23, 2009
Last updated in NPPESJune 23, 2009

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