Individual provider · Type 1 NPI

Miranda S. Shelton

Addiction (Substance Use Disorder) Counselor · Mansfield, OH

NPI number 1023680774 Active

Practice location

580 Park Ave W
Mansfield, OH 44906-3722

Call (833) 510-4357 Map

Fax (866) 460-2997

Mailing address

615 Elsinore Pl Ste 200
Cincinnati, OH 45202-1457

Other practice locations

  • 615 Elsinore Pl Ste 200, Cincinnati, OH 45202-1457 · (833) 510-4357

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCDCA.175537 (OH)
Case Manager/Care Coordinator 171M00000XNone listed
Community Health Worker 172V00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.180023 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1023680774

Miranda S. Shelton's National Provider Identifier is 1023680774, issued on Jul 13, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mansfield, OH. The record was last updated on Aug 19, 2022.