Individual provider · Type 1 NPI

Shelly Diane Wynne, RASI

Addiction (Substance Use Disorder) Counselor · San Francisco, CA

NPI number 1205145000 Active

Practice location

815 Buena Vista Ave W
San Francisco, CA 94117-4108

Mailing address

321 2nd Ln
South San Francisco, CA 94080-4704

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1205145000

Shelly Diane Wynne, RASI's National Provider Identifier is 1205145000, issued on Sep 28, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Francisco, CA. The record was last updated on Sep 28, 2010.