Individual provider · Type 1 NPI
Georgianne Shackelford
Addiction (Substance Use Disorder) Counselor · Sacramento, UM
NPI number
1124692785
Active
Practice location
1614 54th Street
Sacramento, UM 95819
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1124692785
Georgianne Shackelford's National Provider Identifier is 1124692785, issued on May 18, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sacramento, UM. The record was last updated on May 18, 2021.