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

Shelley Jean Whiteman I, CASAC-ADVANCED

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1861153637

Shelley Jean Whiteman I, CASAC-ADVANCED is an Addiction (Substance Use Disorder) Counselor in Tupper Lake, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2022

Practice location Address checks out

190 Main St
Tupper Lake, NY 12986-1018
Phone: (518) 359-5401
Fax: (518) 359-5401
Show map & directions

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

Additional practice locations (1)

  • 50 John Munn Rd, Saranac Lake, NY 12983-1341 — (518) 420-7440

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 12637 (NY)

Record details

NPI number1861153637
Entity typeIndividual (Type 1)
GenderFemale
Credentials CASAC-ADVANCED
Sole proprietorNo
NPI enumeratedJanuary 4, 2022
Last updated in NPPESJanuary 4, 2022
Certification dateJanuary 4, 2022

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