Individual provider · Type 1 NPI
Shelton Dale Eldridge
Addiction (Substance Use Disorder) Counselor · Fairborn, OH
NPI number
1184582504
Active
Practice location
1420 N Broad St Apt 18
Fairborn, OH 45324-5565
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1184582504
Shelton Dale Eldridge's National Provider Identifier is 1184582504, issued on Jan 14, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairborn, OH. The record was last updated on Jan 14, 2026.