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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. GERALD R SHIREY III, CADC-II, ICADC

Active Sole Proprietor

MR. GERALD R SHIREY III, CADC-II, ICADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in CAMPO, California. NPI 1629554803 is currently active in the NPPES registry. Verify at CMS.

Addiction (Substance Use Disorder) Counselor · CAMPO, CA

Registration Details

NPI Number
1629554803
Provider Type
Individual
Gender
Male
NPI Issued
Jul 11, 2018 (8.0525062240682 yrs)
Last Updated
Mar 30, 2022
License
A048880118 (CA)
Sole Proprietor
Yes

Practice Information

Address
1777 BUCKMAN SPRINGS RD
CAMPO, CA, 919062022
Browse CA providers · Browse ZIP 91906
Phone
6194785696
Fax
6194782404

Other Addiction (Substance Use Disorder) Counselor Providers in CAMPO, CA

Name Credential NPI
MS. ROXANNE MARIE HAGAN 1275775751
MICHAEL LEE HUFFAKER 1639655665
MR. MICHAEL GEORGE DEHAMM CADC II, ICADC 1588141527
MR. JAMES FRANCIS NOURIE RADT-I 1568921112
MR. RICHARD ADALI SHAPLIN CADC-CAS 1467911016
MR. ROLAND JOSEPH LEBEL RADT-I 1861951410
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.