person
Timothy John Shocklee, 13397-R
Addiction (Substance Use Disorder) Counselor in Colton, California
NPI 1891330536

Timothy John Shocklee is an Addiction (Substance Use Disorder) Counselor based in Colton, CA and is specialized in Addiction (Substance Use Disorder). Timothy John Shocklee practices in Colton, CA and has the professional credentials of 13397-R. The NPI Number for Timothy John Shocklee is 1891330536 and holds a License No. (California).

The current practice location address for Timothy John Shocklee is 1076 Santo Antonio Dr Ste B, Colton, CA and can be reached out via phone at 909-433-9824 and via fax at 909-433-9830.

Location: 1076 Santo Antonio Dr Ste B, Colton, CA, 92324-8183
person
Provider Profile Details
NPI Number
1891330536
Provider Name
Timothy John Shocklee
Credential
13397-R
Provider Entity Type
Individual
Gender
Male
Address
1076 Santo Antonio Dr Ste B, Colton, CA, 92324-8183
Phone Number
909-433-9824
Fax Number
909-433-9830
Provider Enumeration Date
11/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1076 Santo Antonio Dr Ste B
City
State
Zip
92324-8183
Phone Number
909-433-9824
Fax Number
909-433-9830
person
Provider Business Mailing Address Details
Address
1076 Santo Antonio Dr Ste B
City
State
Zip
92324-8183
Phone Number
909-433-9824
Fax Number
909-433-9830
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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