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MARC CLINT TAN-SHUTTLEWORTH I
NPI 1801657317
Counselor - Addiction (Substance Use Disorder) in Fresno, CA

Active since January 22, 2024
2550 W CLINTON AVE UNIT 311, FRESNO, CA 93705(559) 264-7521 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marc Clint Tan-shuttleworth I NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARC CLINT TAN-SHUTTLEWORTH I (NPI 1801657317) is an individual addiction (substance use disorder) provider in Fresno, California, licensed in California (R1518560823) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1801657317
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMARC CLINT TAN-SHUTTLEWORTH I
Location Address2550 W CLINTON AVE UNIT 311Fresno, CA 93705-4218
Mailing Address2550 W Clinton Ave Unit 311Fresno, CA 93705-4218 · (559) 264-7521
Phone(559) 264-7521
Sole ProprietorNo
Enumeration DateJanuary 22, 2024
NPPES CertifiedJanuary 22, 2024
✔ NPI 1801657317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · R1518560823
2550 W CLINTON AVE UNIT 311, Fresno, CA 93705
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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AVA GALLARDO
Counselor (Addiction (Substance Use Disorder))
2550 W CLINTON AVE UNIT 311
FRESNO, CA 93705
Fresno County (559) 264-7521
RAINA ELAINE PATTERSON
Counselor (Addiction (Substance Use Disorder))
2550 W CLINTON AVE UNIT 311
FRESNO, CA 93705
Fresno County (559) 264-7521
EVIE JOLENE ARTER
Counselor (Addiction (Substance Use Disorder))
2550 W CLINTON AVE UNIT 311
FRESNO, CA 93705
Fresno County (559) 264-7521
TREAZURE MAHOGANEE STENSON
Counselor (Addiction (Substance Use Disorder))
2550 W CLINTON AVE UNIT 311
FRESNO, CA 93705
Fresno County (559) 264-7521
ARKAMI REED
Counselor (Addiction (Substance Use Disorder))
2550 W CLINTON AVE UNIT 311
FRESNO, CA 93705
Fresno County (559) 264-7521
MISS DEBRA JOHNSON CASII
Counselor (Addiction (Substance Use Disorder))
2550 W CLINTON AVE UNIT 311
FRESNO, CA 93705
Fresno County (559) 264-7521
MERCEDES SOTO
Counselor (Addiction (Substance Use Disorder))
2550 W CLINTON AVE UNIT 311
FRESNO, CA 93705
Fresno County (559) 264-7521
KARISSA ASHLEY RODRIGUEZ
Counselor (Addiction (Substance Use Disorder))
2550 W CLINTON AVE UNIT 311
FRESNO, CA 93705
Fresno County (559) 264-7521

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marc Tan-shuttleworth's NPI number?

The NPI number for Marc Tan-shuttleworth is 1801657317. It was assigned to this individual provider in the NPPES registry on January 22, 2024.

Where is Marc Tan-shuttleworth located?

Marc Tan-shuttleworth practices at 2550 W Clinton Ave Unit 311, Fresno, CA 93705. The listed phone number is (559) 264-7521.

What is Marc Tan-shuttleworth's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Marc Tan-shuttleworth was last updated on January 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.