Shelley Jean Whiteman I, CASAC-ADVANCED

NPI #1861153637 in Tupper Lake, New York

Provider Information

NPI Number: 1861153637
Entity Type: Individual
Name: Shelley Jean Whiteman I, CASAC-ADVANCED
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: CASAC-ADVANCED
Enumeration Date: Jan 4, 2022
Last Updated: Jan 4, 2022

Practice Location

Address: 190 MAIN ST
City: Tupper Lake
State: New York
ZIP Code: 12986-1018
Phone: (518) 359-5401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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