Individual provider · Type 1 NPI

James L. Shively Ii, CDCA

Addiction (Substance Use Disorder) Counselor · Warren, OH

NPI number 1083108799 Active

Practice location

1212 Tod Pl NW
Warren, OH 44485-2475

Call (330) 469-6822 Map

Fax (330) 294-5641

Mailing address

PO Box 1212
Warren, OH 44482-1212

Other practice locations

  • 2430 Parkman Rd NW, Warren, OH 44485-1777 · (330) 469-6822

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLCDCII.161820 (OH)

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

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About NPI 1083108799

James L. Shively Ii, CDCA's National Provider Identifier is 1083108799, issued on Jun 15, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Warren, OH. The record was last updated on Mar 11, 2024.