person
Georgianne Shackelford
Addiction (Substance Use Disorder) Counselor in Sacramento, California
NPI 1124692785

Georgianne Shackelford is an Addiction (Substance Use Disorder) Counselor based in Sacramento, CA and is specialized in Addiction (Substance Use Disorder). Georgianne Shackelford practices in Sacramento, CA. The NPI Number for Georgianne Shackelford is 1124692785 and holds a License No. (California).

The current practice location address for Georgianne Shackelford is 1614 54Th Street, Sacramento, CA and can be reached out via phone at 916-990-2582.

Location: 1614 54Th Street, Sacramento, CA, 95819
person
Provider Profile Details
NPI Number
1124692785
Provider Name
Georgianne Shackelford
Credential
Provider Entity Type
Individual
Gender
Female
Address
1614 54Th Street, Sacramento, CA, 95819
Phone Number
916-990-2582
Fax Number
Provider Enumeration Date
05/18/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1234 05 CA
institution
Provider Business Practice Location Address Details
Address
1614 54Th Street
City
State
Zip
95819
Phone Number
916-990-2582
Fax Number
person
Provider Business Mailing Address Details
Address
1614 54Th Street
City
State
Zip
95819
Phone Number
916-990-2582
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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