M KIVAUGHN SHELTON

FRESNO, CA
NPI1063983336
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  r8522)
Enumeration Date2018-12-16
Last Update Date2018-12-17
Business Address
M KIVAUGHN SHELTON MSW
539 N VAN NESS AVE
FRESNO, CA 93728-3419
Phone number: 559-266-9581
Mailing Address
M KIVAUGHN SHELTON MSW
539 N VAN NESS AVE
FRESNO, CA 93728-3419
Phone number: 559-266-9581
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