Individual provider · Type 1 NPI

Spencer E. Shotley, LADC, CADC III

Addiction (Substance Use Disorder) Counselor · Cass Lake, MN

NPI number 1740560804 Active

About NPI 1740560804

Spencer E. Shotley, LADC, CADC III's National Provider Identifier is 1740560804, issued on Aug 22, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cass Lake, MN. The record was last updated on Aug 22, 2011.