Timothy John Shocklee, 2113397I
Timothy John Shocklee, 2113397I is an Addiction (Substance Use Disorder) Counselor in Riverside, California. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
2085 Rustin AveRiverside, CA 92507-2498
Phone: (951) 955-2105
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1891330536 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | 2113397I |
| Sole proprietor | No |
| NPI enumerated | November 15, 2019 |
| Last updated in NPPES | May 1, 2024 |
| Certification date | May 1, 2024 |
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