Individual provider · Type 1 NPI

Shayna Kisling, SUDRC 19545

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1659195592 Active

Practice location

2445 W Whites Bridge Ave
Fresno, CA 93706-1225

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X19545 (CA)

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

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About NPI 1659195592

Shayna Kisling, SUDRC 19545's National Provider Identifier is 1659195592, issued on Nov 7, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fresno, CA. The record was last updated on Jan 7, 2026.