| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CHANELL SHAVERS | 1295135291 | 2023-08-13 |
Chanell Shavers is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1295135291. Registration indicates Chanell Shavers is a provider of services with a specialization in Behavioral Health & Social Service Providers, Marriage & Family Therapist (Marriage & Family Therapist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Marriage & Family Therapist, Behavioral Health & Social Service Providers) (Behavioral Health & Social Service Providers, Marriage & Family Therapist) (Marriage & Family Therapist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Marriage & Family Therapist, Behavioral Health & Social Service Providers) (Behavioral Health & Social Service Providers, Marriage & Family Therapist) (Marriage & Family Therapist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Marriage & Family Therapist, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Chanell Shavers |
| Practice Office Address | 5408 SILVER CROSSING ST BAKERSFIELD, CA US |
| Practice Office Telephone | 6613318313 |
| Mailing Address | 5408 SILVER CROSSING ST BAKERSFIELD, CA 933134123 US |
| Business Telephone | 6613318313 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 3105 Wilson Rd | Bakersfield, CA 933046810 | 6613978775 / 6613978286 |
| 5408 Silver Crossing St | Bakersfield, CA 933134123 | 6613318313 |
| 1021 4th St Ste B | Taft, CA 932682433 | 6617657025 / 6617450023 |
| Other URL [Bakersfield] | Bakersfield | College Community Services |
| Email [Bakersfield] | [email protected] | Other Bakersfield |
| personal email [] | [email protected] | Direct |
| Encrypted [] | Secure | Other Secure |
| Code | Practice | License No State |
|---|---|---|
| 106H00000X | Behavioral Health & Social Service Providers Marriage & Family Therapist Marriage & Family Therapist Behavioral Health/Substance Abuse/Psychiatry Marriage & Family Therapist Behavioral Health & Social Service Providers | 121012
CA |
| 106H00000X | Behavioral Health & Social Service Providers Marriage & Family Therapist Marriage & Family Therapist Behavioral Health/Substance Abuse/Psychiatry Marriage & Family Therapist Behavioral Health & Social Service Providers | IMF80029
CA |
| 106H00000X PRIMARY | Behavioral Health & Social Service Providers Marriage & Family Therapist Marriage & Family Therapist Behavioral Health/Substance Abuse/Psychiatry Marriage & Family Therapist Behavioral Health & Social Service Providers | LMFT121012
CA |
| 1295135291 | MEDICAID | CA |