MR. BRYAN ARTHUR SHORES M.A. CDC-I NPI 1417069162

NPI Information

NPI: 1417069162
Provider Name: MR. BRYAN ARTHUR SHORES, M.A., CDC-I
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
733 3RD
FERGUSON BUILDING
KOTZEBUE, AK
ZIP 99752
Phone: (907) 442-7640
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MR. Bryan Arthur Shores, M.A., CDC-I is an addiction (substance use disorder) counselor in Kotzebue, AK. MR. Bryan Arthur Shores, M.A., CDC-I NPI is 1417069162. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

733 3RD
FERGUSON BUILDING
KOTZEBUE, AK
ZIP 99752
Phone: (907) 442-7640
Fax: (907) 442-7749

The enumeration date for this NPI number is 8/31/2006 and was last updated on 11/20/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes
2	101YP2500X	Counselor	Professional			No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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