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

James L Shively II, CDCA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1083108799

James L Shively II, CDCA is an Addiction (Substance Use Disorder) Counselor in Warren, Ohio. Practices as a sole proprietor and works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2018

Practice location Address checks out

1212 Tod Pl NW
Warren, OH 44485-2475
Phone: (330) 469-6822
Fax: (330) 294-5641
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2430 Parkman Rd Nw, Warren, OH 44485-1777 — (330) 469-6822

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LCDCII.161820 (OH)

Record details

NPI number1083108799
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA
Sole proprietorYes
NPI enumeratedJune 15, 2018
Last updated in NPPESMarch 11, 2024
Certification dateJanuary 24, 2024
Mailing addressPo Box 1212, Warren, OH 44482-1212

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