Provider Demographics
NPI:1487446746
Name:RANUIO, SHANNA
Entity type:Individual
Prefix:
First Name:SHANNA
Middle Name:
Last Name:RANUIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 GREENHOUSE WAY
Mailing Address - Street 2:
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95382-7383
Mailing Address - Country:US
Mailing Address - Phone:208-587-1639
Mailing Address - Fax:
Practice Address - Street 1:13386 MARENGO RD
Practice Address - Street 2:
Practice Address - City:GALT
Practice Address - State:CA
Practice Address - Zip Code:95632-8429
Practice Address - Country:US
Practice Address - Phone:925-334-7186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)