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

Mr. Shelby Qualls, CAC-1

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1194847749

Mr. Shelby Qualls, CAC-1 is an Addiction (Substance Use Disorder) Counselor in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007

Practice location Address checks out

8809 John C Ldg
Detroit, MI 48224
Phone: (313) 887-6737
Fax: (313) 876-0532
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 820080 (MI)

Record details

NPI number1194847749
Entity typeIndividual (Type 1)
GenderMale
Credentials CAC-1
Sole proprietorNo
NPI enumeratedApril 4, 2007
Last updated in NPPESJuly 8, 2007

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