| Doctor Name: | MR. NATHAN D. SHIMER |
| NPI Number: | 1023332400 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MHR, LMHC, CAP |
| License Number: | 4100 |
| Business Practice Address: | 5356 10th St Malone, FL - 324453429 |
| Business Phone Number: | 8505695355 |
| Business Fax Number: | 8505695205 |
| Mailing Address: | 5356 10th St, MALONE |
| State: | FL |
| Postal Code: | 324453429 |
| Phone Number: | 8505695355 |
| Fax Number: | 8505695205 |
| NPI Enumeration Date: | 03/15/2010 |
| NPI Last Update Date: | 03/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 4100 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |