Individual provider · Type 1 NPI

Ilena Marie Shortt, CADC-CAS

Addiction (Substance Use Disorder) Counselor · Redding, CA

NPI number 1205339751 Active

Practice location

1506 Market St
Redding, CA 96001-1023

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XC03360116 (CA)

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

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About NPI 1205339751

Ilena Marie Shortt, CADC-CAS's National Provider Identifier is 1205339751, issued on Mar 12, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Redding, CA. The record was last updated on Mar 12, 2018.