Individual provider · Type 1 NPI

Bailey Shockley

Addiction (Substance Use Disorder) Counselor · Roseville, CA

NPI number 1962265462 Active

Practice location

1133 Coloma Way Ste C
Roseville, CA 95661-4480

Call (916) 774-6647 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1962265462

Bailey Shockley's National Provider Identifier is 1962265462, issued on Feb 6, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Roseville, CA. The record was last updated on Feb 14, 2024.