Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SPENCER E SHOTLEY, LADC, CADC III
Active Sole ProprietorSPENCER E SHOTLEY, LADC, CADC III is a Addiction (Substance Use Disorder) Counselor healthcare provider located in CASS LAKE, Minnesota. NPI 1740560804 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · CASS LAKE, MN
Registration Details
- NPI Number
- 1740560804
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2011 (14.970556863749 yrs)
- Last Updated
- Aug 22, 2011
- License
-
302091 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
115 6TH STREET NWCASS LAKE, MN, 56633Browse MN providers · Browse ZIP 56633
- Phone
- 2187609257
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in CASS LAKE, MN
| Name | Credential | NPI |
|---|---|---|
| MISS TAMRA RAE DEVAULT | — | 1659591287 |
| ROBERT JASPERS | ADC-1 | 1669347696 |
| ROBERT LEON FAIRBANKS | ALCOHOL & DRUG COUNS | 1326900937 |
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.