Provider Demographics
NPI:1821164567
Name:LANEY, SHELLY (SR BVRL HLTH CNSL)
Entity Type:Individual
Prefix:MS
First Name:SHELLY
Middle Name:
Last Name:LANEY
Suffix:
Gender:F
Credentials:SR BVRL HLTH CNSL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 FREMONT ST
Mailing Address - Street 2:#11
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928
Mailing Address - Country:US
Mailing Address - Phone:530-809-1404
Mailing Address - Fax:
Practice Address - Street 1:560 COHASSET RD STE 165
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-2460
Practice Address - Country:US
Practice Address - Phone:530-879-3950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor