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Mr. Jeffery Everett Shively
Counselor in Canton, Michigan
NPI 1750771747

Jeffery Everett Shively is a Counselor based in Canton, MI. Jeffery Everett Shively practices in Canton, MI. The NPI Number for Jeffery Everett Shively is 1750771747 and holds a License No. (Michigan).

The current practice location address for Jeffery Everett Shively is 354 Charterhouse Ct, Canton, MI and can be reached out via phone at 734-625-4524. You can also correspond with Jeffery Everett Shively through the mailing address at 354 CHARTERHOUSE CT, CANTON, MI - 48188-1520 (mailing address contact number: 734-625-4524).

Location: 354 Charterhouse Ct, Canton, MI, 48188-1520
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750771747
Provider Name
Jeffery Everett Shively
Credential
Provider Entity Type
Individual
Gender
Male
Address
354 Charterhouse Ct, Canton, MI, 48188-1520
Phone Number
734-625-4524
Fax Number
Provider Enumeration Date
01/28/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
354 Charterhouse Ct
City
Canton
State
Michigan
Zip
48188-1520
Phone Number
734-625-4524
Fax Number
person
Provider Business Mailing Address Details
Address
354 Charterhouse Ct
City
Canton
State
Michigan
Zip
48188-1520
Phone Number
734-625-4524
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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