person
James L Shively II, CDCA
Addiction (Substance Use Disorder) Counselor in Warren, Ohio
NPI 1083108799

James L Shively II is an Addiction (Substance Use Disorder) Counselor based in Warren, OH and is specialized in Addiction (Substance Use Disorder). James L Shively II practices in Warren, OH and has the professional credentials of CDCA. The NPI Number for James L Shively II is 1083108799 and holds a License No. LCDCII.161820 (Ohio).

The current practice location address for James L Shively II is 1212 Tod Pl Nw, Warren, OH and can be reached out via phone at 330-469-6822 and via fax at 330-294-5641.

Location: 1212 Tod Pl Nw, Warren, OH, 44482-1212
person
Provider Profile Details
NPI Number
1083108799
Provider Name
James L Shively II
Credential
CDCA
Provider Entity Type
Individual
Gender
Male
Address
1212 Tod Pl Nw, Warren, OH, 44482-1212
Phone Number
330-469-6822
Fax Number
330-294-5641
Provider Enumeration Date
06/15/2018
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
1212 Tod Pl Nw
City
State
Zip
44485-2475
Phone Number
330-469-6822
Fax Number
330-294-5641
person
Provider Business Mailing Address Details
Address
1212 Tod Pl Nw
City
State
Zip
44485-2475
Phone Number
330-469-6822
Fax Number
330-294-5641
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LCDCII.161820 (Ohio)
Definition
Definition to come...
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