Individual provider · Type 1 NPI

Leslie Ingrid Shellberg I, LLMSW

Addiction (Substance Use Disorder) Counselor · Detroit, MI

NPI number 1477710481 Active

Practice location

16647 Wyoming St
Detroit, MI 48221-2848

Call (313) 342-3606 Map

Fax (313) 861-0413

Mailing address

3011 Kingsley Dr
Troy, MI 48084-1216

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X60801088740 (MI)

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

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About NPI 1477710481

Leslie Ingrid Shellberg I, LLMSW's National Provider Identifier is 1477710481, issued on May 19, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Detroit, MI. The record was last updated on May 19, 2008.