Individual provider · Type 1 NPI

Michael Dwayne Shelby

Addiction (Substance Use Disorder) Counselor · Italy, TX

NPI number 1639741200 Active

Practice location

621 Hardemen
Italy, TX 76651

Mailing address

621 Hardeman
Italy, TX 76651

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

About NPI 1639741200

Michael Dwayne Shelby's National Provider Identifier is 1639741200, issued on Jul 13, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Italy, TX. The record was last updated on Jul 13, 2021.