person
M Kivaughn Shelton, MSW
Addiction (Substance Use Disorder) Counselor in Fresno, California
NPI 1063983336

M Kivaughn Shelton is an Addiction (Substance Use Disorder) Counselor based in Fresno, CA and is specialized in Addiction (Substance Use Disorder). M Kivaughn Shelton practices in Fresno, CA and has the professional credentials of MSW. The NPI Number for M Kivaughn Shelton is 1063983336 and holds a License No. R8522 (California).

The current practice location address for M Kivaughn Shelton is 539 N Van Ness Ave, Fresno, CA and can be reached out via phone at 559-266-9581 and via fax at 559-498-0507.

Location: 539 N Van Ness Ave, Fresno, CA, 93728-3419
person
Provider Profile Details
NPI Number
1063983336
Provider Name
M Kivaughn Shelton
Credential
MSW
Provider Entity Type
Individual
Gender
Male
Address
539 N Van Ness Ave, Fresno, CA, 93728-3419
Phone Number
559-266-9581
Fax Number
559-498-0507
Provider Enumeration Date
12/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
539 N Van Ness Ave
City
State
Zip
93728-3419
Phone Number
559-266-9581
Fax Number
559-498-0507
person
Provider Business Mailing Address Details
Address
539 N Van Ness Ave
City
State
Zip
93728-3419
Phone Number
559-266-9581
Fax Number
559-498-0507
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R8522 (California)
Definition
Definition to come...
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