Individual provider · Type 1 NPI

Melissa Shively, CADCII

Addiction (Substance Use Disorder) Counselor · Santa Ana, CA

NPI number 1790329191 Active

Practice location

2101 E 1st St
Santa Ana, CA 92705-4007

Fax (714) 542-2246

Mailing address

11186 Lavender Ave
Fountain Valley, CA 92708-2426

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XA05157119 (CA)

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

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About NPI 1790329191

Melissa Shively, CADCII's National Provider Identifier is 1790329191, issued on Oct 30, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Ana, CA. The record was last updated on Jan 14, 2022.