Individual provider · Type 1 NPI

Matthew Ryan Shelly, QMHP

Mental Health Counselor · Leesburg, VA

NPI number 1215425772 Active

Practice location

102 Heritage Way NE Ste 302
Leesburg, VA 20176-4544

Fax (703) 777-0170

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1215425772

Matthew Ryan Shelly, QMHP's National Provider Identifier is 1215425772, issued on Apr 30, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Leesburg, VA. The record was last updated on Apr 30, 2018.