Individual provider · Type 1 NPI
Ji Yeon Shelly Nicoletti
Addiction (Substance Use Disorder) Counselor · Justin, TX
NPI number
1033014626
Active
Practice location
624 Emmons Creek St
Justin, TX 76247-2365
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 78474 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1033014626
Ji Yeon Shelly Nicoletti's National Provider Identifier is 1033014626, issued on Oct 13, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Justin, TX. The record was last updated on Oct 13, 2026.