Individual
MICHAEL N. SHANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LISAC
Contact information
Practice address
9405 S AVENIDA DEL YAQUI, GUADALUPE, AZ 85283-2529
(480) 768-2026
(480) 768-2053
Mailing address
9405 S AVENIDA DEL YAQUI, GUADALUPE, AZ 85283-2529
(480) 768-2026
(480) 768-2053
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-10254
AZ
1041C0700X
Clinical Social Worker
LCSW-10461
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
854580
—
AZ
Enumeration date
02/13/2007
Last updated
09/11/2025
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