Individual provider · Type 1 NPI
Wilfred Shirley, SUBSTANCE ABUSE COUN
Addiction (Substance Use Disorder) Counselor · Winslow, AZ
NPI number
1790347573
Active
Practice location
1/2 Mile Northeast Dilkon Bashas Store
Winslow, AZ 86047
Fax (928) 657-8009
Mailing address
PO Box 7072
Winslow, AZ 86047-7072
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1790347573
Wilfred Shirley, SUBSTANCE ABUSE COUN's National Provider Identifier is 1790347573, issued on Jul 2, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Winslow, AZ. The record was last updated on Jul 2, 2019.