Search › California › 106H00000X
Shannon Wade
NPI 1568915981 · on the registry since 2016 · sole proprietor
Practice
- Address
- 24077 State Highway 49
Nevada City, CA 95959 - Phone
- (530) 265-9057
- Organisation at this address
- Stanislaus County
Mountain Valley Child And Family Services, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 121
Additional practice sites
- 103 D St, Marysville, CA
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Also registered as
- 101YM0800X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-09-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California