Individual provider · Type 1 NPI

Shelly Lynn Niblack, CDC L

Addiction (Substance Use Disorder) Counselor · Kenai, AK

NPI number 1255996351 Active

Practice location

10200, Kenai Sour Hwy
Kenai, AK 99611

Call (907) 283-3658 Map

Mailing address

PO Box 882
Kenai, AK 99611-0882

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 1255996351

Shelly Lynn Niblack, CDC L's National Provider Identifier is 1255996351, issued on May 3, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kenai, AK. The record was last updated on May 3, 2019.