Individual
ANGELA RENEE SHULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
536 MILL ST, CHILLICOTHE, OH 45601-2322
(937) 701-7016
Mailing address
462 STANLEY ST, CHILLICOTHE, OH 45601-3457
(740) 804-3470
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
162932
OH
175T00000X
Peer Specialist
0002787
OH
Other
Enumeration date
11/23/2021
Last updated
11/20/2025
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