Individual provider · Type 1 NPI

Kyalai A. Shaw, SUDRC

Addiction (Substance Use Disorder) Counselor · Oakland, CA

NPI number 1386312783 Active

Practice location

3845 Telegraph Ave
Oakland, CA 94609-2419

Call (510) 450-1197 Map

Mailing address

1200 Concord Ave Ste Concord
Concord, CA 94520-4915

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XRBT-20-142531 (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X16183 (CA)

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

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About NPI 1386312783

Kyalai A. Shaw, SUDRC's National Provider Identifier is 1386312783, issued on Aug 31, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oakland, CA. The record was last updated on Apr 26, 2024.