| Shannon Nicole Verketis, RADT1 R1454820122 | |
|
419 Pennsylvania St, Vallejo, CA 94590-6933 | |
| (707) 643-2715 | |
| (707) 643-8536 |
| Full Name | Shannon Nicole Verketis |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 419 Pennsylvania St, Vallejo, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962159889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | R1454820122 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Nicole Verketis, RADT1 R1454820122 419 Pennsylvania St, Vallejo, CA 94590-6933 Ph: (707) 643-2715 | Shannon Nicole Verketis, RADT1 R1454820122 419 Pennsylvania St, Vallejo, CA 94590-6933 Ph: (707) 643-2715 |
Leata Jeames, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2201 Tuolumne St, Vallejo, CA 94589 Phone: 707-558-1777 Fax: 707-558-1770 | |
Ned L Jacobs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1017 Tennessee St, Vallejo, CA 94590 Phone: 707-647-1520 | |
Tiffany Marie Tyler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 908 Tuolumne St, Vallejo, CA 94590 Phone: 707-648-8121 Fax: 707-648-8129 | |
Michelle Reneta Ortiz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 126 Ohio St, Vallejo, CA 94590 Phone: 415-707-2577 Fax: 707-644-5501 | |
Tanesha Nixon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 627 Grant St, Vallejo, CA 94590 Phone: 707-553-1042 | |
Debra Marrama, PROGRAM DIRECTOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 3467 Edgewater Pl, Vallejo, CA 94591 Phone: 707-732-8105 Fax: 707-667-0010 | |
Mr. Bjay Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 236 Georgia Street, Vallejo, CA 94590 Phone: 510-229-2786 |