Individual provider · Type 1 NPI

James Joseph Shock Iii, BA

Addiction (Substance Use Disorder) Counselor · Wilkes-Barre, PA

NPI number 1619205366 Active

About NPI 1619205366

James Joseph Shock Iii, BA's National Provider Identifier is 1619205366, issued on Nov 18, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wilkes-Barre, PA. The record was last updated on Nov 19, 2009.