Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Georgianne Shackelford

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1124692785

Georgianne Shackelford is an Addiction (Substance Use Disorder) Counselor in Sacramento, California. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Incomplete address

The federal record is missing the street or ZIP for this provider.

1614 54th St
Sacramento, CA 95819
Phone: (916) 990-2582

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1124692785
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 18, 2021
Last updated in NPPESMay 18, 2021
Certification dateMay 18, 2021

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