Individual provider · Type 1 NPI

Patrica Shackleford, PhD

Mental Health Counselor · Melrose, FL

NPI number 1316361801 Active

Practice location

2380 SE County Road 21B
Melrose, FL 32666-5113

Fax (866) 811-2779

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH5805 (FL)
School Psychologist 103TS0200XSS 475 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1316361801

Patrica Shackleford, PhD's National Provider Identifier is 1316361801, issued on Feb 5, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Melrose, FL. The record was last updated on Feb 5, 2014.