NPI 1013531078

Nicole Shaver

Practitioner Addiction (Substance Use Disorder) Counselor Colton, CA

Practice location

Address: 23950 Prado Ln, Colton, CA 92324-9734
Phone: (909) 514-1958

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X

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Registry record

NPI: 1013531078
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Jun 2020
Record last updated: 4 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.