Individual provider · Type 1 NPI
Shane D. Humphrey, CDCA
Addiction (Substance Use Disorder) Counselor · Dayton, OH
NPI number
1013616408
Active
Practice location
1 Elizabeth Pl
Dayton, OH 45417-3445
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CDCA.186047 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1013616408
Shane D. Humphrey, CDCA's National Provider Identifier is 1013616408, issued on Feb 24, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dayton, OH. The record was last updated on Nov 29, 2023.