Individual provider · Type 1 NPI

Zachary Shattuck

Counselor · San Diego, CA

NPI number 1124757984 Active

Practice location

3132 Jefferson St
San Diego, CA 92110-4421

Call (619) 683-3100 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1124757984

Zachary Shattuck's National Provider Identifier is 1124757984, issued on Jun 7, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Diego, CA. The record was last updated on Jun 7, 2022.