Individual provider · Type 1 NPI

Mason P. Shallow

Addiction (Substance Use Disorder) Counselor · Rhinelander, WI

NPI number 1780428979 Active

Practice location

PO Box 1550
Rhinelander, WI 54501-1550

Call (715) 362-5745 Map

Fax (715) 362-2819

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X20605-130 (WI)

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

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About NPI 1780428979

Mason P. Shallow's National Provider Identifier is 1780428979, issued on Jun 21, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rhinelander, WI. The record was last updated on Jun 21, 2024.