Shirlene Kelly Shirley, SUDP
Counselor, Addiction (Substance Use Disorder) in Spokane, WA. Individual provider (NPI-1).
NPI number1669943395
StatusActive
Last updated in NPPESOct 4, 2022
Details
- NPI
- 1669943395
- Entity type
- Individual (NPI-1)
- Name
- Ms. Shirlene Kelly Shirley
- Credential
- SUDP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 6, 2018
- Certification date
- Oct 4, 2022
- Last updated
- Oct 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CP60081248 | WA | Yes |
Practice location
3710 N Monroe St. Riverside Recovery CenterSpokane, WA 99205
Phone 509-328-5234 · Fax 509-328-2358
Mailing address
12715 E Mission AveSpokane Valley, WA 99216-1027
Phone 509-323-5766 · Fax 509-321-5472
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