SHELLY LYNN NIBLACK

KENAI, AK
NPI1255996351
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-05-03
Last Update Date2019-05-03
Business Address
SHELLY LYNN NIBLACK CDC l
10200 KENAI SOUR HWY
KENAI, AK 99611
Phone number: 907-283-3658
Mailing Address
SHELLY LYNN NIBLACK CDC l
PO BOX 882
KENAI, AK 99611-0882
Phone number: 907-283-3658