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

Zachary Shattuck

Individual provider Counselor · NPI 1124757984

Zachary Shattuck is a Counselor in San Diego, California. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

3132 Jefferson St
San Diego, CA 92110-4421
Phone: (619) 683-3100
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1124757984
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 7, 2022
Last updated in NPPESJune 7, 2022
Certification dateJune 7, 2022

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