Individual provider · Type 1 NPI

Sally Shively

Addiction (Substance Use Disorder) Counselor · Pomona, CA

NPI number 1114706298 Active

Practice location

831 E Arrowhighyway
Pomona, CA 91767

Call (909) 634-2950 Map

Mailing address

1350 San Bernardino Rd Spc 68
Upland, CA 91786-4939

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1497220223 (CA)

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

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About NPI 1114706298

Sally Shively's National Provider Identifier is 1114706298, issued on Sep 27, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pomona, CA. The record was last updated on Sep 27, 2023.