Individual provider · Type 1 NPI
Shelby Myrick, CADC I
Addiction (Substance Use Disorder) Counselor · Petaluma, CA
NPI number
1144989815
Active
Practice location
825 Rancho Way
Petaluma, CA 94954-4558
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CI28691219 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1144989815
Shelby Myrick, CADC I's National Provider Identifier is 1144989815, issued on Dec 10, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Petaluma, CA. The record was last updated on Dec 10, 2021.