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Individual
MR. SHAWN GURLEY
Active
Individual
MR. SHAWN GURLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S. CDCA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1336522671
OH
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
1336522671
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336522671
—
OH
Enumeration date
07/06/2015
Last updated
02/16/2023
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