Shane D Humphrey, CDCA

NPI #1013616408 in Dayton, Ohio

Provider Information

NPI Number: 1013616408
Entity Type: Individual
Name: Shane D Humphrey, CDCA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: CDCA
Enumeration Date: Feb 24, 2023
Last Updated: Nov 29, 2023

Practice Location

Address: 1 ELIZABETH PL
City: Dayton
State: Ohio
ZIP Code: 45417-3445
Phone: (937) 813-1737

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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