person
Shelley Jean Whiteman I, CASAC-ADVANCED
Addiction (Substance Use Disorder) Counselor in Tupper Lake, New York
NPI 1861153637

Shelley Jean Whiteman I is an Addiction (Substance Use Disorder) Counselor based in Tupper Lake, NY and is specialized in Addiction (Substance Use Disorder). Shelley Jean Whiteman I practices in Tupper Lake, NY and has the professional credentials of CASAC-ADVANCED. The NPI Number for Shelley Jean Whiteman I is 1861153637 and holds a License No. 12637 (New York).

The current practice location address for Shelley Jean Whiteman I is 190 Main St, Tupper Lake, NY and can be reached out via phone at 518-359-5401 and via fax at 518-359-5401.

Location: 190 Main St, Tupper Lake, NY, 12986-1018
person
Provider Profile Details
NPI Number
1861153637
Provider Name
Shelley Jean Whiteman I
Credential
CASAC-ADVANCED
Provider Entity Type
Individual
Gender
Female
Address
190 Main St, Tupper Lake, NY, 12986-1018
Phone Number
518-359-5401
Fax Number
518-359-5401
Provider Enumeration Date
01/04/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
190 Main St
City
State
Zip
12986-1018
Phone Number
518-359-5401
Fax Number
518-359-5401
person
Provider Business Mailing Address Details
Address
190 Main St
City
State
Zip
12986-1018
Phone Number
518-359-5401
Fax Number
518-359-5401
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
12637 (New York)
Definition
Definition to come...
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