Individual provider · Type 1 NPI
Shelley Jean Whiteman I, CASAC-ADVANCED
Addiction (Substance Use Disorder) Counselor · Tupper Lake, NY
NPI number
1861153637
Active
Practice location
190 Main St
Tupper Lake, NY 12986-1018
Fax (518) 359-5401
Other practice locations
- 50 John Munn Rd, Saranac Lake, NY 12983-1341 · (518) 420-7440
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 12637 (NY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Tupper Lake
About NPI 1861153637
Shelley Jean Whiteman I, CASAC-ADVANCED's National Provider Identifier is 1861153637, issued on Jan 4, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tupper Lake, NY. The record was last updated on Jan 4, 2022.