Individual
SHELBY FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
1601 E 4TH PLAIN BLVD BLDG 17, VANCOUVER, WA 98661-3717
(360) 514-2608
Mailing address
1601 E 4TH PLAIN BLVD BLDG 17, VANCOUVER, WA 98661-3717
(360) 514-2608
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60870375
WA
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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