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Individual
KAREN LEANNE SHIRLEY
Active
Individual
KAREN LEANNE SHIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDCC11
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15383
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
94-1582683
ALCOHOL AND DRUG TREATMENT
CA
Enumeration date
04/17/2018
Last updated
05/23/2023
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