Individual provider · Type 1 NPI
Marvin Shelton, ED.S, ED.D, RSAP
Clinic/Center · Hazelwood, MO
NPI number
1003364969
Active
Practice location
6110 Howdershell Rd
Hazelwood, MO 63042-1170
Mailing address
4166 Lindell Blvd Apt 1B
St. Louis, MO 63108-2923
Other practice locations
- 4166 Lindell Blvd, Suite 1B, St. Louis, MO 63108-2945 · (314) 580-3029
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 9374 (MO) |
| Professional Counselor | 101YP2500X | 9374 (MO) |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
5 other providers at this address
- CelebrationpointeCommunity Health Clinic/Center Hazelwood, MO NPI 1073099404
- CelebrationpointeComprehensive Outpatient Rehabilitation Facility (CORF) Hazelwood, MO NPI 1568010346
- Clyde Edward Foland, DCNutrition Chiropractor Hazelwood, MO NPI 1073674958
- Julie Ann Stanley, DCChiropractor Hazelwood, MO NPI 1073771945
- Pamela Wingo, LPNLicensed Practical Nurse Hazelwood, MO NPI 1770134959
Other clinic/center providers in Hazelwood
About NPI 1003364969
Marvin Shelton, ED.S, ED.D, RSAP's National Provider Identifier is 1003364969, issued on Sep 20, 2016. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Hazelwood, MO. The record was last updated on Sep 19, 2019.