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NPI Code Detail

MEDICARE: MRS. SHELBY LAUREN KNOWLTON I

MEDICARE: MRS. SHELBY LAUREN KNOWLTON I
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1518515857
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHELBY LAUREN KNOWLTON I
Provider Business Mailing Address
First Line : 7028 VALLEY KNOLL RD.
Second Line :
City : CARMEL
State : CA
Zip : 93923
Country : US
Telephone Number : 831-770-3561
Fax Number :
Provider Business Practice Location Address
First Line : 1929 OXFORD CT
Second Line :
City : SALINAS
State : CA
Zip : 93906-2184
Country : US
Telephone Number : 831-771-8555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2019
Last Update Date : 08/29/2019

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