Individual provider · Type 1 NPI
Shirlene Kelly Shirley, SUDP
Addiction (Substance Use Disorder) Counselor · Spokane, WA
NPI number
1669943395
Active
Practice location
3710 N Monroe St. Riverside Recovery Center
Spokane, WA 99205
Fax (509) 328-2358
Mailing address
12715 E Mission Ave
Spokane Valley, WA 99216-1027
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CP60081248 (WA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1669943395
Shirlene Kelly Shirley, SUDP's National Provider Identifier is 1669943395, issued on Dec 6, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Spokane, WA. The record was last updated on Oct 4, 2022.