Individual provider · Type 1 NPI

Shelly Colclough

Addiction (Substance Use Disorder) Counselor · East Palo Alto, CA

NPI number 1053760033 Active

Practice location

2560 Pulgas Ave
East Palo Alto, CA 94303-1323

Call (650) 325-6466 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1053760033

Shelly Colclough's National Provider Identifier is 1053760033, issued on Jun 9, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in East Palo Alto, CA. The record was last updated on Jun 9, 2016.