Individual
MS. SHIRLENE KELLY SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
3710 N MONROE ST. RIVERSIDE RECOVERY CENTER, SPOKANE, WA 99205
(509) 328-5234
(509) 328-2358
Mailing address
12715 E MISSION AVE, SPOKANE VALLEY, WA 99216-1027
(509) 323-5766
(509) 321-5472
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60081248
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2077844
—
WA
05
—
2118932
—
WA
Enumeration date
12/06/2018
Last updated
10/04/2022
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