Individual provider · Type 1 NPI
Eugene Shelly, M.DIV.
Mental Health Counselor · New York, NY
NPI number
1205024205
Active
Practice location
145 Central Park W Apt 1A
New York, NY 10023-2004
Mailing address
3234 Irwin Ave
Bronx, NY 10463-3705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 002495-1 (NY) |
Mental Health Counselor: Definition to come...
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About NPI 1205024205
Eugene Shelly, M.DIV.'s National Provider Identifier is 1205024205, issued on Oct 4, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New York, NY. The record was last updated on Oct 4, 2007.