Individual provider · Type 1 NPI

M Kivaughn Shelton, MSW

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1063983336 Active

Practice location

539 N Van Ness Ave
Fresno, CA 93728-3419

Call (559) 266-9581 Map

Fax (559) 498-0507

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR8522 (CA)

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

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About NPI 1063983336

M Kivaughn Shelton, MSW's National Provider Identifier is 1063983336, issued on Dec 16, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fresno, CA. The record was last updated on Dec 17, 2018.