Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Gerald R Shirey III, CADC-II, ICADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1629554803

Mr. Gerald R Shirey III, CADC-II, ICADC is an Addiction (Substance Use Disorder) Counselor in Campo, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018
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Practice location Address checks out

1777 Buckman Springs Rd
Campo, CA 91906-2022
Phone: (619) 478-5696
Fax: (619) 478-2404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence A048880118 (CA)

Record details

NPI number1629554803
Entity typeIndividual (Type 1)
GenderMale
Credentials CADC-II , ICADC
Sole proprietorYes
NPI enumeratedJuly 11, 2018
Last updated in NPPESMarch 30, 2022
Certification dateMarch 30, 2022

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