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

Suzanna Shepherd

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1780036004

Suzanna Shepherd is a Student in an Organized Health Care Education/Training Program in Bothell, Washington. Licensed in Washington. Registered with an NPI since 2016.

Licensed in
WA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

22026 20th Ave SE Ste 101 Canyon Park Treatment Solutions
Bothell, WA 98021-4449
Phone: (425) 672-7293
Fax: (425) 329-4640
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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 CO60656742 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 60656742 (WA)

Record details

NPI number1780036004
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 11, 2016
Last updated in NPPESApril 4, 2017
Mailing address22026 20th Ave Se Ste 101, Canyon Park Treatment Solutions, Bothell, WA 98021-4449

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