Individual provider · Type 1 NPI
Marie Luise Shelton, LCMHCA
Professional Counselor · Southern Shores, NC
NPI number
1366060402
Active
Practice location
12 Juniper Trl Ste 201
Southern Shores, NC 27949-3750
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | A15824 (NC) |
Professional Counselor: Definition to come...
About NPI 1366060402
Marie Luise Shelton, LCMHCA's National Provider Identifier is 1366060402, issued on Jul 6, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Southern Shores, NC. The record was last updated on Sep 1, 2026.