Individual provider · Type 1 NPI

John Shealy, LISW, LICDC-CS

Addiction (Substance Use Disorder) Counselor · Delaware, OH

NPI number 1508209834 Active

Practice location

118 Stover Dr
Delaware, OH 43015-8601

Fax (740) 363-8742

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XI0018420SUPV (OH)
Mental Health Counselor 101YM0800XI0018420SUPV (OH)

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

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About NPI 1508209834

John Shealy, LISW, LICDC-CS's National Provider Identifier is 1508209834, issued on Apr 17, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Delaware, OH. The record was last updated on Apr 17, 2013.