Individual provider · Type 1 NPI
Martha Caroline Shockley, LPC-A
Professional Counselor · Dallas, TX
NPI number
1376426783
Active
Practice location
400 S Zang Blvd
Dallas, TX 75208-6600
Mailing address
7545 SE Woodward St
Portland, OR 97206-1860
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | R12136 (OR) |
| Professional Counselor | 101YP2500X | 98816 (TX) |
Professional Counselor: Definition to come...
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About NPI 1376426783
Martha Caroline Shockley, LPC-A's National Provider Identifier is 1376426783, issued on Jul 31, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dallas, TX. The record was last updated on Jan 8, 2026.