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
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None 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.