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Ms. Shelly Colclough
Addiction (Substance Use Disorder) Counselor in East Palo Alto, California
NPI 1053760033

Shelly Colclough is an Addiction (Substance Use Disorder) Counselor based in East Palo Alto, CA and is specialized in Addiction (Substance Use Disorder). Shelly Colclough practices in East Palo Alto, CA. The NPI Number for Shelly Colclough is 1053760033 and holds a License No. (California).

The current practice location address for Shelly Colclough is 2560 Pulgas Ave, East Palo Alto, CA and can be reached out via phone at 650-325-6466.

Location: 2560 Pulgas Ave, East Palo Alto, CA, 94303-1323
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053760033
Provider Name
Shelly Colclough
Credential
Provider Entity Type
Individual
Gender
Female
Address
2560 Pulgas Ave, East Palo Alto, CA, 94303-1323
Phone Number
650-325-6466
Fax Number
Provider Enumeration Date
06/09/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2560 Pulgas Ave
City
East Palo Alto
State
California
Zip
94303-1323
Phone Number
650-325-6466
Fax Number
person
Provider Business Mailing Address Details
Address
2560 Pulgas Ave
City
East Palo Alto
State
California
Zip
94303-1323
Phone Number
650-325-6466
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
(California)
Definition
Definition to come...
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