Individual provider · Type 1 NPI

Shauraye Holloway

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

NPI number 1417819665 Active

Practice location

939 N D St
San Bernardino, CA 92410-3519

Call (909) 889-6519 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1629070825 (CA)

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

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About NPI 1417819665

Shauraye Holloway's National Provider Identifier is 1417819665, issued on Nov 25, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Bernardino, CA. The record was last updated on Nov 25, 2025.