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Individual

JOHN ALLEN SHIFLET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCDCI

Contact information

Practice address
1709 N FM 179, LUBBOCK, TX 79416
(806) 780-8300
(806) 780-8383
Mailing address
1715 26TH ST, 1709 N FM 179, LUBBOCK, TX 79411-1524
(806) 780-8300
(806) 780-8383

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
06087195
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
065363601
TX
Enumeration date
05/25/2012
Last updated
05/25/2012
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