person
Mr. Shelby Qualls, CAC-1
Addiction (Substance Use Disorder) Counselor in Detroit, Michigan
NPI 1194847749

Shelby Qualls is an Addiction (Substance Use Disorder) Counselor based in Detroit, MI and is specialized in Addiction (Substance Use Disorder). Shelby Qualls practices in Detroit, MI and has the professional credentials of CAC-1. The NPI Number for Shelby Qualls is 1194847749 and holds a License No. 820080 (Michigan).

The current practice location address for Shelby Qualls is 8809 John C Lodge, Detroit, MI and can be reached out via phone at 313-887-6737 and via fax at 313-876-0532.

Location: 8809 John C Lodge, Detroit, MI, 48224-1840
person
Provider Profile Details
NPI Number
1194847749
Provider Name
Shelby Qualls
Credential
CAC-1
Provider Entity Type
Individual
Gender
Male
Address
8809 John C Lodge, Detroit, MI, 48224-1840
Phone Number
313-887-6737
Fax Number
313-876-0532
Provider Enumeration Date
04/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8809 John C Lodge
City
State
Zip
48224
Phone Number
313-887-6737
Fax Number
313-876-0532
person
Provider Business Mailing Address Details
Address
8809 John C Lodge
City
State
Zip
48224
Phone Number
313-887-6737
Fax Number
313-876-0532
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
820080 (Michigan)
Definition
Definition to come...
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