Individual
KAYLIANNE MICHELLE SHREVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSA, CT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
5225
AK
175T00000X
Peer Specialist
Primary
4734
AK
175T00000X
Peer Specialist
Primary
—
AK
Other
Enumeration date
04/18/2025
Last updated
04/20/2026
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