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Jerry Alan Shaver
Addiction (Substance Use Disorder) Counselor in Woodland, California
NPI 1659560027

Jerry Alan Shaver is an Addiction (Substance Use Disorder) Counselor based in Woodland, CA and is specialized in Addiction (Substance Use Disorder). Jerry Alan Shaver practices in Woodland, CA. The NPI Number for Jerry Alan Shaver is 1659560027 and holds a License No. (California).

The current practice location address for Jerry Alan Shaver is 178 W Beamer St, Woodland, CA and can be reached out via phone at 530-666-8655.

Location: 178 W Beamer St, Woodland, CA, 95695-2663
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659560027
Provider Name
Jerry Alan Shaver
Credential
Provider Entity Type
Individual
Gender
Male
Address
178 W Beamer St, Woodland, CA, 95695-2663
Phone Number
530-666-8655
Fax Number
Provider Enumeration Date
10/22/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
178 W Beamer St
City
Woodland
State
California
Zip
95695-2663
Phone Number
530-666-8655
Fax Number
person
Provider Business Mailing Address Details
Address
178 W Beamer St
City
Woodland
State
California
Zip
95695-2663
Phone Number
530-666-8655
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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