Individual
ASHLEY SHIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500B JEFFERSON BLVD # 195, WEST SACRAMENTO, CA 95605-2349
(916) 403-2970
Mailing address
PO BOX 1260, DAVIS, CA 95617-1260
(530) 753-3498
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/26/2009
Last updated
06/26/2009
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