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Zachary Shattuck
Counselor in San Diego, California
NPI 1124757984

Zachary Shattuck is a Counselor based in San Diego, CA. Zachary Shattuck practices in San Diego, CA. The NPI Number for Zachary Shattuck is 1124757984 and holds a License No. (California).

The current practice location address for Zachary Shattuck is 3132 Jefferson St, San Diego, CA and can be reached out via phone at 619-683-3100.

Location: 3132 Jefferson St, San Diego, CA, 92110-4421
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124757984
Provider Name
Zachary Shattuck
Credential
Provider Entity Type
Individual
Gender
Male
Address
3132 Jefferson St, San Diego, CA, 92110-4421
Phone Number
619-683-3100
Fax Number
Provider Enumeration Date
06/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3132 Jefferson St
City
San Diego
State
California
Zip
92110-4421
Phone Number
619-683-3100
Fax Number
person
Provider Business Mailing Address Details
Address
3132 Jefferson St
City
San Diego
State
California
Zip
92110-4421
Phone Number
619-683-3100
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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